Organization
TRIUM PROFESSIONAL CORPORATION - KY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SHEEHAN (PRESIDENT)
(615) 375-1094
Entity
Organization
Contact information
Practice address
460 HIGHWAY 46 S, DICKSON, TN 37055-2525
(615) 375-1094
(615) 246-3827
Mailing address
PO BOX 1017, DICKSON, TN 37056-1017
(877) 626-5321
(615) 246-3827
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
07/13/2021
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