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Individual

SUKHVIR SINGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1505 W ELK AVE STE 1, ELIZABETHTON, TN 37643-2848
(423) 543-7919
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4472
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q041993
TN
Enumeration date
05/01/2018
Last updated
02/26/2024
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