Individual
DENNIS MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.PH.
Contact information
Practice address
975 9TH ST, LAWRENCEBURG, TN 38464-2772
(931) 762-2220
(931) 762-2228
Mailing address
975 9TH ST, LAWRENCEBURG, TN 38464-2772
(931) 762-1947
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4700
TN
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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