Ruth Dianne Corlew PA

NPI 1629001821 - Physician Assistant - 363A00000X

NPI Details
NPI 1629001821
Gender Female
Enumeration Date 07/09/2006
Last Updated 01/21/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1155 KENNEDY DR
SUITE 201D
MURFREESBORO TN, 37129-2260, US
Phone (615) 849-1717
Fax (615) 849-8858
Business Location
515 STONECREST PKWY
STE 210
SMYRNA TN, 37167-6826, US
Phone (615) 625-7112
Fax (615) 625-7028
Toxanomy
Taxonomy Code 363A00000X
License State Tennessee
License Number PA0091
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According to our database, Ruth Dianne Corlew PA NPI is 1629001821, taxonomy code is 363A00000X and license number is PA0091, license state is located at Tennessee. Ruth Dianne Corlew PA physically located at 1155 Kennedy Dr, Murfreesboro TN, 37129-2260. NPI Number Ruth Dianne Corlew PA has the Individual type.

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1629001821 NPI number is provided on an as is basis without warranty of any kind. 1629001821 is maintained by the National Plan & Provider Enumeration System. The contents of Ruth Dianne Corlew PA are for informational purposes only.