Individual
JOHN R CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5751 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2237
(931) 823-3030
(931) 823-3018
Mailing address
5751 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2237
(931) 823-3030
(931) 823-3018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000462
—
TN
Enumeration date
07/05/2005
Last updated
01/26/2009
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