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Individual

MARY N MORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1370
Mailing address
2020 21ST AVE S, SUITE 201, NASHVILLE, TN 37212-4354
(615) 269-0652
(615) 269-0135

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1105
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3717550
TN
Enumeration date
07/11/2006
Last updated
08/02/2011
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