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Individual

ALGIS PETRAS SIDRYS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2497
(931) 783-5757
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
28008
TN
2085R0001X
Radiation Oncology Physician
Primary
28008
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3806863
TN
05
3806864
TN
Enumeration date
05/27/2006
Last updated
07/23/2024
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