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Organization

MIDSOUTH FIRST ASSIST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN TOBIAS GRAY (PRESIDENT)
(615) 345-5510
Entity
Organization

Contact information

Practice address
214 CENTERVIEW DR, SUITE 100, BRENTWOOD, TN 37027-5274
(615) 345-5390
Mailing address
214 CENTERVIEW DR, SUITE 100, BRENTWOOD, TN 37027-5274
(615) 345-5390

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
363AS0400X
Surgical Physician Assistant
Primary

Other

Enumeration date
06/17/2011
Last updated
06/17/2011
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