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Individual

STACY R BROMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4039 HIGHLAND ST, MILAN, TN 38358-3483
(731) 686-8995
(731) 686-8997
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 425-5783

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2774
TN

Other

Enumeration date
12/11/2006
Last updated
12/02/2015
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