Organization
FREED-HARDEMAN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R CARGILE M.D. (CAMPUS PHYSICIAN)
(731) 989-6680
Entity
Organization
Contact information
Practice address
158 E MAIN ST, HENDERSON, TN 38340-2306
(731) 989-6680
(731) 989-6047
Mailing address
158 E MAIN ST, HENDERSON, TN 38340-2306
(731) 989-6680
(731) 989-6047
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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