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Individual

DR. SUBHI D ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD FACS

Contact information

Practice address
806 E MAIN ST, WAVERLY, TN 37185-1814
(931) 296-7788
(931) 296-7130
Mailing address
806 E MAIN ST, PO BOX 786, WAVERLY, TN 37185-1814
(931) 296-7788
(931) 296-7130

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD0000009598
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142928
BLUE CROSS
TN
01
1740209
UNITED HEALTHCARE
TN
05
3161153
TN
Enumeration date
10/03/2005
Last updated
07/08/2007
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