Individual
BOBBIE S MINCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
512 ACORN CT, CHATTANOOGA, TN 37415-4815
(423) 206-0928
Mailing address
512 ACORN CT, CHATTANOOGA, TN 37415-4815
(423) 206-0928
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002088308
VA
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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