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Organization
SOUTHEASTERN HEMATOLOGY ONCOLOGY ASSOCIATES PLLC
Active
Organization
SOUTHEASTERN HEMATOLOGY ONCOLOGY ASSOCIATES PLLC
Active
Other names
Southeastern Psychology Group
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FOUCHE MD (OWNER)
(216) 832-8294
Entity
Organization
Contact information
Practice address
3006 GREYSTONE SQ, JACKSON, TN 38305-3589
(731) 474-1242
Mailing address
3006 GREYSTONE SQ, JACKSON, TN 38305-3589
(860) 230-6947
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
06/29/2022
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