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Individual

CLIVE ANDERSON WASSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
83 MEMORIAL DR, WINCHESTER, TN 37398
(931) 967-3966
(931) 962-0373
Mailing address
83 MEMORIAL DR, WINCHESTER, TN 37398-2401
(931) 967-3966
(931) 962-0373

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3442
TN

Other

Enumeration date
05/09/2013
Last updated
08/22/2018
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