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Organization
MEDICAL OBSERVATION SERVICES LLC
Active
Organization
MEDICAL OBSERVATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULLIVAN K SMITH M.D. (MANAGING MEMBER)
(931) 783-2334
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2334
(931) 783-2253
Mailing address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2334
(931) 783-2253
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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