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ALICIA DUMONT DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
135 N MEADOWS DR, ATHENS, TN 37303-4172
(423) 745-9715
Mailing address
135 N MEADOWS DR, ATHENS, TN 37303-4172
(423) 745-9715

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1743
TN

Other

Enumeration date
09/11/2009
Last updated
09/11/2009
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