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Individual

DR. GEORGE MARQUIS CONVERSE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1370 GATEWAY BLVD, SUITE 100, MURFREESBORO, TN 37129-2589
(615) 848-9265
(615) 895-2155
Mailing address
1370 GATEWAY BLVD, SUITE 100, MURFREESBORO, TN 37129-2589
(615) 848-9265
(615) 895-2155

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD36076
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2120899
TN
Enumeration date
06/03/2006
Last updated
10/31/2011
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