Individual
MRS. TERESA DIANNE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1216 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 380-2532
(931) 380-2596
Mailing address
1216 TROTWOOD AVE, COLUMBIA, TN 38401-6406
(931) 380-2532
(931) 380-2596
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0122784
TN
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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