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Organization

RICHARD A BAGBY JR MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD A. BAGBY JR. M. D. (PRESIDENT)
(931) 580-2437
Entity
Organization

Contact information

Practice address
183 HOSPITAL RD, SUITE G, WINCHESTER, TN 37398-2471
(931) 580-2437
(931) 967-8119
Mailing address
183 HOSPITAL RD, SUITE G, WINCHESTER, TN 37398-2471
(931) 580-2437
(931) 967-8119

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD011925
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2009891
BLUE CROSS TN
TN
Enumeration date
02/20/2008
Last updated
01/26/2015
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