CLIVE ANDERSON WASSON

AMG - SOUTHERN TENNESSEE, LLC

Dr CLIVE ANDERSON WASSON is a male medical professional, specializing in General Surgery. He graduated in 2013.

Contact

AMG - SOUTHERN TENNESSEE, LLC

100 HUNTERS LN
TULLAHOMA
TN
373888263

Tel:

CLIVE ANDERSON WASSON Information

Npi 1215372768
Pac Id 8729213442
Professional Enrollment Id I20180814002646
Last Name WASSON
First Name CLIVE
Middle Name ANDERSON
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AMG - SOUTHERN TENNESSEE, LLC
Group Practice Pac Id 5991765943
Number Of Group Practice Members 37
Line 1 Street Address 100 HUNTERS LN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TULLAHOMA
State TN
Zip Code 373888263
Phone Number
Hospital Affiliation Ccn 1 440058
Hospital Affiliation Lbn 1 SOUTHERN TENNESSEE REGIONAL HLTH SYSTEM WINCHESTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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