Waverly Medical Center, Pllc

NPI 1003175605 - Specialist - 174400000X

NPI Details
NPI 1003175605
Enumeration Date 05/16/2012
Last Updated 05/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name NOEL R NOEL
Position PHYSICIAN
Phone (931) 296-4225
Fax (931) 296-4218
Practice Location
209 WEST MAIN ST.
WAVERLY TN, 37185, UM
Phone (931) 296-4225
Fax (931) 296-4218
Business Location
P. O. BOX 210
209 WEST MAIN ST.
WAVERLY TN, 37185, UM
Phone (931) 296-4225
Fax (931) 296-4218
Toxanomy
Taxonomy Code 174400000X
License State Tennessee
License Number 19861
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According to our database, Waverly Medical Center, Pllc NPI is 1003175605, taxonomy code is 174400000X and license number is 19861, license state is located at Tennessee. Waverly Medical Center, Pllc physically located at 209 West Main St., Waverly TN, 37185. NPI Number 1033115704 has the healthcare provider type.

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1003175605 NPI number is provided on an as is basis without warranty of any kind. 1003175605 is maintained by the National Plan & Provider Enumeration System. The contents of Waverly Medical Center, Pllc are for informational purposes only.