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NPI Code Detail

MEDICARE: LAURA SUDBURY BAUER MHS, PA-C

MEDICARE: LAURA SUDBURY BAUER MHS, PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant1779TN

General Provider Information

NPI Number : 1831388859
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA SUDBURY BAUER MHS, PA-C
Provider Business Mailing Address
First Line : 200 COOL SPRINGS BLVD
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2677
Country : US
Telephone Number : 615-771-7546
Fax Number : 615-771-8600
Provider Business Practice Location Address
First Line : 200 COOL SPRINGS BLVD
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2677
Country : US
Telephone Number : 615-771-7546
Fax Number : 615-771-8600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2007
Last Update Date : 01/25/2011

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Directions to “ LAURA SUDBURY BAUER MHS, PA-C” Practice Location

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