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Individual

ROLAND RAY STROUD JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
204 W HOGAN ST, TULLAHOMA, TN 37388
(931) 393-1043
(931) 393-1000
Mailing address
204 WEST HOGAN ST, TULLAHOMA, TN 37388
(931) 393-1043
(931) 393-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD34529
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3380186
TN
01
4056101
BCBS
TN
Enumeration date
04/19/2006
Last updated
07/08/2007
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