Organization
MEDICAL ASSOCIATES DEVELOPMENT LLC
Active
Other names
MANCHESTER FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J COUCH (CEO)
(931) 728-6354
Entity
Organization
Contact information
Practice address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 728-6205
(931) 723-3194
Mailing address
1615 MCMINNVILLE HWY, MANCHESTER, TN 37355-3179
(931) 728-6205
(931) 723-3194
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DO738
TN
Other
Enumeration date
07/25/2008
Last updated
09/15/2009
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