Organization
DR DAVID I UDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID I UDOM M.D. (OWNER)
(615) 459-6855
Entity
Organization
Contact information
Practice address
611 POTOMAC PL STE 105, SMYRNA, TN 37167-5655
(615) 459-6855
(615) 459-5627
Mailing address
PO BOX 330381, MURFREESBORO, TN 37133-0381
(615) 459-6855
(615) 459-5627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD28832
TN
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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