Individual
MR. RAYMOND LAMAR GOOGLE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 GALLATIN RD., MADISON, TN 37115
(615) 460-4300
Mailing address
620 GALLATIN RD., MADISON, TN 37115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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