Individual
MARK BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
574 MOUNT LEBANON RD, DICKSON, TN 37055-5944
(615) 440-9298
Mailing address
574 MOUNT LEBANON RD, DICKSON, TN 37055-5944
(615) 440-9298
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
114
TN
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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