Individual
MISS VANDANA BOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(931) 815-4000
Mailing address
UNIVERSITY OF TENNESSEE, 910 MADISON AVENUE SUITE 1031, MEMPHIS, TN 38163-0001
(901) 448-7635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61540
TN
Other
Enumeration date
03/31/2014
Last updated
03/22/2023
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