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Organization

MDSI, INC.

Active
Other names
Senior Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL REEVES MILLER (PRESIDENT)
(423) 512-1245
Entity
Organization

Contact information

Practice address
2529 BEECHWOOD DR, ELIZABETHTON, TN 37643-5062
(423) 512-1245
(423) 297-1014
Mailing address
2529 BEECHWOOD DR, ELIZABETHTON, TN 37643-5062
(423) 512-1245
(423) 297-1014

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
09/14/2010
Last updated
09/14/2010
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