Organization
OASIS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH L COLBURN MD (OWNER)
(931) 823-5603
Entity
Organization
Contact information
Practice address
4120 BRADFORD HICKS DR, LIVINGSTON, TN 38570
(931) 823-5603
(931) 403-0574
Mailing address
4120 BRADFORD HICKS DR, LIVINGSTON, TN 38570
(931) 823-5603
(931) 403-0574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21497
TN
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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