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Individual

THOMAS RAY WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 WILDWOOD CIRCLE, COLUMBIA, TN 38401
(931) 381-9753
Mailing address
100 WILDWOOD CIRCLE, COLUMBIA, TN 38401
(931) 381-9753

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD3902
TN

Other

Enumeration date
12/02/2009
Last updated
12/02/2009
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