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Organization

CERASMD OF TN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAMUEL CLEMMONS (CEO)
(800) 483-7629
Entity
Organization

Contact information

Practice address
2802 BRANSFORD AVE, NASHVILLE, TN 37204-3102
(800) 483-7629
Mailing address
2802 BRANSFORD AVE, NASHVILLE, TN 37204-3102
(800) 483-7629

Taxonomy

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

Other

Enumeration date
01/26/2022
Last updated
01/26/2022
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