Individual
ROBERT ELDO DURRETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 OLD MILL RD, CLARKSVILLE, TN 37042-3109
(931) 552-0858
(931) 645-1923
Mailing address
PO BOX 2308, CLARKSVILLE, TN 37042-2308
(931) 552-0858
(931) 645-1923
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
00024330
TN
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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