PROACTIVE MD, LLC
Restorative Service Providers at Aztec Dr, Dyersburg, TN

License number
Tennessee RRT0000000395
Category
Restorative Service Providers
Type
Pulmonary Diagnostics
Owner
Name: PHILLIP D TIDWELL RRT
Title: REGISTERED RESPIRATORY THERAPIST
Phone: (731) 589-6156
Address
Address
2148 Aztec Dr, Dyersburg, TN 38024
National Provider ID: 1326346412
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROACTIVE MD, LLC at bizstanding.com

Proactive MD, LLC

2148 Aztec Dr, Dyersburg, TN 38024

Industry:
Business Services at Non-Commercial Site, Medical Doctor's Office

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