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Search › Tennessee › 101YM0800X

Jeffrey Rudolph

NPI 1093170300 · on the registry since 2015

Practice

Address
1820 Memorial Cir
Clarksville, TN 37043
Phone
(931) 920-7333
Organisation at this address
Centerstone Of Tennessee
Centerstone Of Tennessee Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
111

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee