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Regional Ent Associates, P.C.

Clinic/Center, Medical Specialty in Lebanon, TN. Organization (NPI-2).

NPI number1235170010
StatusActive
Last updated in NPPESNov 15, 2012

Details

NPI
1235170010
Entity type
Organization (NPI-2)
Legal business name
Regional Ent Associates, P.C.
Organization subpart
No
Enumeration date
Jun 10, 2006
Last updated
Nov 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical SpecialtyMD021696TNYes

Practice location

206a Babb Dr
Lebanon, TN 37087-2508

Phone 615-444-6667 · Fax 615-444-7058

Mailing address

206a Babb Dr
Lebanon, TN 37087-2508

Phone 615-444-6667 · Fax 615-444-7058

Authorized official

John L Tate
President
6154446667

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