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Individual

SARAH MARSHALL MANTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 GLEAVES ST, SUITE A, MADISON, TN 37115-2154
(615) 851-7865
(615) 851-7853
Mailing address
200 GLEAVES ST, SUITE A, MADISON, TN 37115-2154
(615) 851-7865
(615) 851-7853

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45131
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514044
TN
Enumeration date
01/04/2007
Last updated
02/18/2011
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