Organization
DICOCCO SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M DICOCCO MD (SOLE MEM)
(731) 592-1690
Entity
Organization
Contact information
Practice address
1205 RUSSELL ST, UNION CITY, TN 38261-5352
(901) 240-7096
(731) 423-2414
Mailing address
1205 RUSSELL ST, UNION CITY, TN 38261-5352
(731) 884-0002
(731) 884-1555
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
TN
Other
Enumeration date
07/17/2013
Last updated
07/23/2013
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