Forked Deer River Inpatient Services, Pllc
NPI #1750717195 in Dyersburg, Tennessee
Provider Information
- NPI Number
- 1750717195
- Entity Type
- Organization
- Organization Name
- Forked Deer River Inpatient Services, Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 17, 2013
- Last Updated
- Dec 21, 2020
Practice Location
Authorized Official
- Name
- KATHY KONDAS
- Title
- OFFICER
- Phone
- (973) 251-1132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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