| Dr David I Udom | |
|
611 Potomac Pl Ste 105 Smyrna TN 37167-5655 | |
| (615) 459-6855 | |
| (615) 459-5627 |
| Full Name | Dr David I Udom |
|---|---|
| Speciality | Internal Medicine |
| Location | 611 Potomac Pl Ste 105, Smyrna, Tennessee |
| Authorized Official Name and Position | David I Udom (OWNER) |
| Authorized Official Contact | 6154596855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David I Udom Po Box 330381 Murfreesboro TN 37133-0381 Ph: (615) 459-6855 | Dr David I Udom 611 Potomac Pl Ste 105 Smyrna TN 37167-5655 Ph: (615) 459-6855 |
| NPI Number | 1881883437 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881883437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD28832 (Tennessee) | Primary |
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