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Organization

TRAVEL CENTER CLINICS

Active
Other names
PROFESSIONAL DRIVERS MEDICAL DEPOTS
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. COLLEEN A ADAMS (BILLING MANAGER)
(615) 661-8929
Entity
Organization

Contact information

Practice address
3130 MAY RD, PERU, IL 61354-9618
(815) 224-7971
(615) 661-8977
Mailing address
PO BOX 51525, KNOXVILLE, TN 37950-1525
(615) 661-8929
(615) 661-8977

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
11/14/2007
Last updated
11/14/2007
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