Individual
DR. MAC CASEY VERNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1325 E WOOD ST, PARIS, TN 38242-4421
(731) 642-0451
Mailing address
1325 E WOOD ST, PARIS, TN 38242-4421
(731) 642-0451
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6782
TN
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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