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Organization

RIPLEY MEDICAL CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEIDI BOCKHOLT (COO)
(731) 221-1637
Entity
Organization

Contact information

Practice address
202 TUCKER AVE, RIPLEY, TN 38063-1631
(731) 635-4741
(731) 660-8739
Mailing address
202 TUCKER AVE, RIPLEY, TN 38063-1631
(731) 635-4741
(731) 635-3466

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Enumeration date
09/14/2006
Last updated
09/29/2020
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