Brenda Ross Md Pc

NPI 1083982243 - Family Medicine - 207Q00000X

NPI Details
NPI 1083982243
Enumeration Date 12/02/2011
Last Updated 12/02/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name BRENDA BRENDA
Position OWNER
Phone (423) 658-9200
Fax (423) 658-2195
Practice Location
13851 HIGHWAY 28
WHITWELL TN, 37397-5373, US
Phone (423) 658-9200
Fax (423) 658-2195
Business Location
13851 HIGHWAY 28
WHITWELL TN, 37397-5373, US
Phone (423) 658-9200
Fax (423) 658-2195
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD0000025147
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According to our database, Brenda Ross Md Pc NPI is 1083982243, taxonomy code is 207Q00000X and license number is MD0000025147, license state is located at Tennessee. Brenda Ross Md Pc physically located at 13851 Highway 28, Whitwell TN, 37397-5373. NPI Number 1033115704 has the healthcare provider type.

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1083982243 NPI number is provided on an as is basis without warranty of any kind. 1083982243 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Ross Md Pc are for informational purposes only.