Organization
CLARKSVILLE MONTGOMERY COUNTY SCHOOL SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANFORD HERMAN M.D. (SUPERVISING PHYSICIAN)
(615) 491-9571
Entity
Organization
Contact information
Practice address
350 PAGEANT LN, SUITE 307, CLARKSVILLE, TN 37040-8606
(931) 906-2001
(931) 648-5618
Mailing address
350 PAGEANT LN, SUITE 307, CLARKSVILLE, TN 37040-8606
(931) 906-2001
(931) 648-5618
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
19272
TN
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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