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Organization

UNIVERSITY OF THE SOUTH HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM BRADFORD (OFFICE COORDINATOR)
(931) 598-1270
Entity
Organization

Contact information

Practice address
1310 UNIVERSITY AVE, SPO 1182, SEWANEE, TN 37375-2336
(931) 598-1270
(931) 598-1746
Mailing address
1310 UNIVERSITY AVE, SPO 1182, SEWANEE, TN 37375-2336
(931) 598-1270
(931) 598-1746

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0006489
TN

Other

Enumeration date
10/06/2009
Last updated
06/17/2011
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