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Organization

INTERNAL MEDICINE EAST, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANORA D GASS (OFFICE MANAGER)
(901) 755-5556
Entity
Organization

Contact information

Practice address
8138 COUNTRY VILLAGE DR, CORDOVA, TN 38016-2029
(901) 755-5556
(901) 755-1113
Mailing address
PO BOX 1419, CORDOVA, TN 38088-1419
(901) 755-5556
(901) 755-1113

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
07/20/2006
Last updated
11/04/2010
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