Individual
MILDRED SUE OFFICER DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
135 W 3RD ST, COOKEVILLE, TN 38501-2478
(931) 526-2488
(931) 526-6332
Mailing address
135 W 3RD ST, COOKEVILLE, TN 38501-2478
(931) 526-2488
(931) 526-6332
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1199
TN
Other
Enumeration date
06/09/2005
Last updated
02/19/2014
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