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Organization
TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER,PC
Active
Organization
TENNESSEE COMPREHENSIVE LUNG AND SLEEP CENTER,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE OBRIEN SOUTHWELL MD, FCCP (PHYSICIAN/MEDICAL DIRECTOR)
(615) 822-2214
Entity
Organization
Contact information
Practice address
102 WESSINGTON PL, HENDERSONVILLE, TN 37075-3085
(615) 822-2214
(615) 822-6519
Mailing address
102 WESSINGTON PL, HENDERSONVILLE, TN 37075-3085
(615) 822-2214
(615) 822-6519
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
11/14/2007
Last updated
10/17/2017
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