Individual
MOULTON D. ABERNATHY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
213 W MAIN ST, PARSONS, TN 38363-2018
(731) 847-6453
Mailing address
61 BOAT DOCK LN, DECATURVILLE, TN 38329-5458
(731) 852-4764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS3005
TN
Other
Enumeration date
04/03/2007
Last updated
12/09/2011
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