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Organization

KENNETH H. TOZER II, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH HAROLD TOZER II M.D. (SURGEON)
(731) 686-7004
Entity
Organization

Contact information

Practice address
4022 LIBERTY ST, MILAN, TN 38358-3453
(731) 686-7004
(731) 686-7078
Mailing address
4022 LIBERTY ST, MILAN, TN 38358-3453
(731) 686-7004
(731) 686-7078

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD016387
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0046019
BCBS
TN
05
03013966
TN
05
03734638
TN
05
3013964
TN
Enumeration date
09/01/2006
Last updated
08/22/2020
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