Individual
MR. RUSTIN FOREST CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
763 MAIN ST N, MC KENZIE, TN 38201-1723
(731) 358-0973
Mailing address
763 MAIN ST N, MC KENZIE, TN 38201-1723
(731) 358-0973
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2011
Last updated
06/06/2011
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