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Organization
WAVERLY PEDIATRIC AND ADULT CARE
Active
Organization
WAVERLY PEDIATRIC AND ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANGELA SKELTON M.D. (OWNER)
(931) 296-7000
Entity
Organization
Contact information
Practice address
1034 W MAIN ST, WAVERLY, TN 37185-1447
(931) 296-7000
(931) 296-7231
Mailing address
1034 W MAIN ST, WAVERLY, TN 37185-1447
(931) 296-7000
(931) 296-7231
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD8719
TN
364SF0001X
Family Health Clinical Nurse Specialist
APN0000015777
TN
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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