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Individual

ROGER C LIND JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
651 DUNLOP LN, CLARKSVILLE, TN 37040-5015
(931) 502-1000
Mailing address
PO BOX 3098, CLARKSVILLE, TN 37043-3098
(931) 647-5034
(931) 552-6663

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2005719
BCBS
01
300069598
RAILROAD MEDICARE
01
300139052
RAILROAD MEDICARE CIC
05
3197361
TN
01
4034357
BCBS CIC
TN
Enumeration date
02/20/2006
Last updated
06/09/2008
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