Organization
ATLAS OSTEOPATHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M GANNON D.O. (MEDICAL DIRECTOR)
(931) 854-9393
Entity
Organization
Contact information
Practice address
404 N WILLOW AVE, COOKEVILLE, TN 38501
(931) 854-9393
(931) 233-2449
Mailing address
404 N WILLOW AVE, COOKEVILLE, TN 38501-2339
(931) 854-9393
(931) 233-2449
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1785
TN
Other
Enumeration date
05/10/2011
Last updated
11/06/2019
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