Organization
NEW SOUTH MEDICAL ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE MCINTOSH MD (MEDICAL DIRECTOR)
(931) 645-5595
Entity
Organization
Contact information
Practice address
2503 HIGHWAY 41A BYP, CLARKSVILLE, TN 37043-3902
(931) 645-5595
(931) 645-5596
Mailing address
2503 HIGHWAY 41A BYP, CLARKSVILLE, TN 37043-3902
(931) 645-5595
(931) 645-5596
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
029433
TN
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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