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Individual

DR. JOHN PAUL LIMBACHER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
315 N WASHINGTON AVE STE 103, COOKEVILLE, TN 38501-2623
(931) 528-2443
(931) 528-1488
Mailing address
315 N WASHINGTON AVE STE 103, COOKEVILLE, TN 38501-2623
(931) 528-2443
(931) 528-1488

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD8955
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000568221
ANTHEM
KY
01
300104009
RAILROAD MEDICARE
TN
01
3134541
TN BCBS
TN
05
3193998
TN
05
7100051350
KY
Enumeration date
07/14/2006
Last updated
04/08/2009
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