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Individual

DR. DAVID G FLORENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
804 KEYLON ST, MANCHESTER, TN 37355-2414
(931) 728-5522
(931) 680-9835
Mailing address
PO BOX 749, DAVID FLORENCE DO, MANCHESTER, TN 37349-0749
(931) 728-5522
(931) 680-9835

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO0604
TN
207Q00000X
Family Medicine Physician
Primary
DO0000000604
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3306758
TN
01
4039106
BCBS
TN
Enumeration date
11/16/2005
Last updated
12/17/2012
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