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Organization

TENNESSEE BONE & JOINT CLINIC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY PETER DALTON M.D. (PRESIDENT/PHYSICIAN)
(615) 215-6100
Entity
Organization

Contact information

Practice address
527A W MAIN ST, SMITHVILLE, TN 37166-1137
(615) 215-6100
(615) 215-6180
Mailing address
527A W MAIN ST, PO BOX 777, SMITHVILLE, TN 37166-1137
(615) 215-6100
(615) 215-6180

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000030830
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699878694
NPI FOR SOLE PROVIDER
05
3829715
TN
Enumeration date
02/19/2008
Last updated
07/15/2009
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