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CRMC MSO SUB 1, INCORPORATED

Specialist

NPI: 1972648319Organization

Specialties, Licenses & Credentials

SpecialistPrimary

Specialist

Code: 174400000X

Physician Assistant — Surgical

Code: 363AS0400X

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address
228 W. 4TH STREET, SUITE 200
COOKEVILLE, TN 38501

Quick Facts

NPI
1972648319
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
3

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