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Individual

HOLLY CLOWERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
87B MURRAY GUARD DR, JACKSON, TN 38305-3628
(731) 664-1375
(731) 660-8319
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36650
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3878334
TN
Enumeration date
09/15/2005
Last updated
11/29/2012
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