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Individual

EARL DWAYNE LETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
660 S MOUNT JULIET RD STE 210, MOUNT JULIET, TN 37122-3973
(615) 443-0901
(615) 442-0310
Mailing address
410 42ND AVE N STE 400, NASHVILLE, TN 37209-3658
(615) 329-7887
(615) 346-6225

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD25738
TN
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD25738
TN

Other

Enumeration date
02/03/2006
Last updated
08/25/2023
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