Individual
MRS. PRISCILLA SARAH INGRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 HAMPSHIRE PIKE, COLUMBIA, TN 38401-5650
(931) 388-5757
Mailing address
6423 YEATMAN LN, COLUMBIA, TN 38401-7931
(615) 310-4824
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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