Individual
BOB T SOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 WINDWOOD DR, JACKSON, TN 38305-8835
(731) 661-0086
(731) 661-0281
Mailing address
18 WINDWOOD DR, JACKSON, TN 38305-8835
(731) 343-1512
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8762
TN
Other
Enumeration date
10/03/2005
Last updated
03/10/2025
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