Organization
AUDIOLOGY MANAGEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRONN RAYNE MD (OWNER/PHYSICIAN)
(931) 526-8863
Entity
Organization
Contact information
Practice address
100 W 4TH ST, SUITE 210, COOKEVILLE, TN 38501-2448
(931) 526-8863
(931) 525-3559
Mailing address
100 W 4TH ST, SUITE 210, COOKEVILLE, TN 38501-2448
(931) 526-8863
(931) 525-3559
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505478
—
TN
Enumeration date
05/15/2008
Last updated
06/20/2011
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