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Individual

MAYSOON SHOCAIR ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD FACP

Contact information

Practice address
806 E MAIN ST, WAVERLY, TN 37185-1814
(931) 296-7788
(931) 296-7130
Mailing address
806 E MAIN ST, PO BOX 786, WAVERLY, TN 37185-1814
(931) 296-7788
(931) 296-7130

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD0000009714
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040478
UNITED HEALTHCARE
TN
05
3161144
TN
01
81042
BLUE CROSS
TN
Enumeration date
09/30/2005
Last updated
07/01/2010
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