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Individual

MICHAEL BLAINE HOUCHIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
75 TUTEN DR, PARSONS, TN 38363-3584
(731) 549-6235
Mailing address
PO BOX 36, PARSONS, TN 38363-0036
(731) 549-6235

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD28497
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3805156
TN
Enumeration date
01/12/2006
Last updated
07/08/2007
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