Organization
GERIATRIC ESSENTIALS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRIAN HUGHES (OWNER/OPERATOR)
(731) 571-8808
Entity
Organization
Contact information
Practice address
804 SCOTSMAN TRCE, DYERSBURG, TN 38024-2910
(731) 571-8808
(731) 214-1816
Mailing address
804 SCOTSMAN TRCE, DYERSBURG, TN 38024-2910
(731) 571-8808
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
APN013215
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506654
—
TN
05
—
Q012269
—
TN
Enumeration date
03/03/2008
Last updated
09/01/2020
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