Individual
RICHARD WILLIAM CLINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
108 MEDICAL CENTER BLVD, SUITE G-50, FAYETTEVILLE, TN 37334-2741
(931) 438-4111
(866) 521-2903
Mailing address
108 MEDICAL CENTER BLVD, SUITE G-50, FAYETTEVILLE, TN 37334-2741
(931) 438-4111
(866) 521-2903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102050050
VA
207Q00000X
Family Medicine Physician
Primary
2292
TN
Other
Enumeration date
01/31/2007
Last updated
04/04/2014
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