Organization
MID-STATE SPORTS MEDICINE
Active
Organization
MID-STATE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD I WILLIAMS M.D. (OWNER)
(931) 525-6676
Entity
Organization
Contact information
Practice address
221 N OAK AVE, COOKEVILLE, TN 38501-2437
(931) 525-6676
(931) 525-6689
Mailing address
221 N OAK AVE, COOKEVILLE, TN 38501-2437
(931) 525-6676
(931) 525-6689
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD27426
TN
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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