# CLARKSVILLE GASTROENTEROLOGY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619129285
- **Authorized official:** DEBBIE GLASSELL MSN,RN (OFFICE MANAGER)
- **Authorized official phone:** (931) 552-0180

## Contact information

- **Practice address:** 132 HILLCREST DR, CLARKSVILLE, TN 37043-5000
- **Practice address phone:** (931) 552-0180
- **Practice address fax:** (931) 572-0915
- **Mailing address:** 132 HILLCREST DR, CLARKSVILLE, TN 37043-5000
- **Mailing address phone:** (931) 552-0180
- **Mailing address fax:** (931) 572-0915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | MD17866 | TN | Yes |

## Other

- **Enumeration date:** 10/15/2008
- **Last updated:** 10/15/2008