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Individual

CHERYL SURACE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
100 LYNNWOOD CIR, CLARKSVILLE, TN 37040-5043
(931) 472-4270
Mailing address
100 LYNNWOOD CIR, CLARKSVILLE, TN 37040-5043
(931) 472-4270

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
0247289
TN
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
06/14/2024
Last updated
06/15/2024
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