Individual
DR. CYNTHIA L COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
161 RAILROAD ST S, MC EWEN, TN 37101-4762
(931) 582-6997
(931) 582-6989
Mailing address
161 RAILROAD ST S, MC EWEN, TN 37101-4762
(931) 582-6997
(931) 582-6989
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
58053
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5878
AZ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS0000007681
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440496
—
TN
Enumeration date
08/11/2005
Last updated
02/10/2009
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