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Organization

SYCAMORE VALLEY ACQUISITION COMPANY, PLLC

Active
Other names
Sycamore Valley Medical Group, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY HOLLOWAY (ADMINISTRATOR)
(615) 792-1911
Entity
Organization

Contact information

Practice address
313 N MAIN ST, ASHLAND CITY, TN 37015-1319
(615) 792-1911
Mailing address
313 N MAIN ST, ASHLAND CITY, TN 37015-1319

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3721906
TN
Enumeration date
07/05/2006
Last updated
08/22/2020
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