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Individual

DR. MARISSA JOY OGLE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
397 WALLACE RD, NASHVILLE, TN 37211-4854
(615) 831-6071
(615) 331-6751
Mailing address
397 WALLACE RD, NASHVILLE, TN 37211-8007
(615) 831-6071
(615) 331-6751

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35608
TN

Other

Enumeration date
05/11/2006
Last updated
07/08/2007
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