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Organization

SARAH MOON THELEN MD PLLC

Active
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Organization

SARAH MOON THELEN MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH MOON THELEN MD (PHYSICIAN)
(931) 227-4984
Entity
Organization

Contact information

Practice address
305 COLLEGE ST W, FAYETTEVILLE, TN 37334-2911
(931) 227-4984
(931) 227-4985
Mailing address
305 COLLEGE ST W, FAYETTEVILLE, TN 37334-2911
(931) 227-4984
(931) 227-4985

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
02/11/2011
Last updated
07/07/2026
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