Organization
MARY I CATES LANDSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY I CATES LANDSEE (OWNER)
(901) 873-2653
Entity
Organization
Contact information
Practice address
4771 EASLEY ST STE 2, MILLINGTON, TN 38053-1931
(901) 873-2653
(901) 873-0388
Mailing address
4771 EASLEY ST STE 2, MILLINGTON, TN 38053-1931
(901) 873-2653
(901) 873-0388
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
MD0000027607
TN
Other
Enumeration date
05/22/2007
Last updated
09/11/2007
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