Organization
SPINE AND MEDICAL ASSOCIATES OF GRUNDY COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW D ANDERSON (SECRETARY)
(931) 779-2225
Entity
Organization
Contact information
Practice address
32717 SR 108, GRUETLI, TN 37339
(931) 779-2225
Mailing address
PO BOX 147, COALMONT, TN 37313-0147
(931) 779-2225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/07/2010
Last updated
01/24/2012
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