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Organization

JANE ANNE GOTCHER MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN SHIRLEY (PRACTICE MANAGER)
(931) 528-7797
Entity
Organization

Contact information

Practice address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-7797
Mailing address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-7797

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q033680
TN
Enumeration date
08/14/2017
Last updated
11/27/2023
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