Mid-State Sports Medicine

NPI #1063606655 in Cookeville, Tennessee

Provider Information

NPI Number: 1063606655
Entity Type: Organization
Organization Name: Mid-State Sports Medicine
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 28, 2007
Last Updated: Aug 28, 2007

Practice Location

Address: 221 N OAK AVE
City: Cookeville
State: Tennessee
ZIP Code: 38501-2437
Phone: (931) 525-6676

Authorized Official

Name: DR. RICHARD I WILLIAMS, M.D.
Title: OWNER
Phone: (931) 525-6676

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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