Individual
DR. MONIQUE CAMILLE CASEY-BOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1716 PARR AVE, SUITE D, DYERSBURG, TN 38024-2073
(731) 288-0911
(731) 288-0065
Mailing address
1716 PARR AVE, SUITE D, DYERSBURG, TN 38024-2073
(731) 288-0911
(731) 288-0065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD 35727
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3874062
—
TN
Enumeration date
07/12/2005
Last updated
12/29/2009
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