MID SOUTH MED, LLC
Ambulatory Health at Highway 64, Lakeland, TN

License number
Tennessee MD0000006816
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. OLIVER BANKS
Title: OFFICE MANAGER
Phone: (901) 497-1040
Address
Address
9160 Highway 64 SUITE 5, Lakeland, TN 38002
National Provider ID: 1356893226
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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