Organization
TWO RIVERS SURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA D TETREAULT (PRACTICE ADMINISTRATOR)
(931) 503-9007
Entity
Organization
Contact information
Practice address
273 DOVER RD, CLARKSVILLE, TN 37042-4155
(931) 503-9007
(931) 572-0079
Mailing address
273 DOVER RD, CLARKSVILLE, TN 37042-4155
(931) 503-9007
(931) 572-0079
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30526
TN
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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