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Organization

MACOURLYN CENTER FOR PLASTIC SURGERY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KERRI M WOODBERRY MD (PRESIDENT)
(615) 895-9100
Entity
Organization

Contact information

Practice address
1370 GATEWAY BLVD, SUITE 210, MURFREESBORO, TN 37129
(615) 895-9100
(615) 895-9200
Mailing address
PO BOX 11922, MURFREESBORO, TN 37129-0039
(615) 895-9100
(615) 895-9200

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37242
TN

Other

Enumeration date
12/04/2007
Last updated
08/09/2013
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