Organization
SUNSHINE SPECIALTY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY BOWERS (PRACTICE MANAGER/OWNER)
(931) 484-9538
Entity
Organization
Contact information
Practice address
194 CLEVELAND ST, CROSSVILLE, TN 38555-4853
(931) 484-9538
(931) 484-4831
Mailing address
194 CLEVELAND ST, CROSSVILLE, TN 38555-4853
(931) 484-9538
(931) 484-4831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21710
TN
Other
Enumeration date
04/11/2012
Last updated
10/20/2015
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