Individual
DR. MARK TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-4294
(931) 783-2770
(931) 525-1176
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
54710
TN
Other
Enumeration date
06/21/2012
Last updated
05/27/2022
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