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Organization

VOLUNTEER MEDICAL GROUP, P.C.

Active
Parent organization
VOLUNTEER MEDICAL GROUP, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
VOLUNTEER MEDICAL GROUP, P.C.
Authorized official
MR. SULLIVAN SMITH M.D. (PRESIDENT)
(931) 783-2334
Entity
Organization

Contact information

Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2334
(931) 783-2253
Mailing address
PO BOX 938, COOKEVILLE, TN 38503-0938
(931) 783-2334
(931) 783-2253

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
TN
207P00000X
Emergency Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
165594900
GROUP'S DOL PROV#
TN
Enumeration date
10/28/2005
Last updated
02/05/2015
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