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Individual

DR. GLEB MEDVEDEV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
394 HARDING PL STE 200, NASHVILLE, TN 37211-3980
(615) 834-4482
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3071

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
71872
TN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
71872
TN

Other

Enumeration date
04/14/2011
Last updated
07/24/2024
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