Individual
MR. RICHARD ALLEN BOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT IV
Contact information
Practice address
709 BRUSHY VALLEY RD, HEISKELL, TN 37754-2809
(865) 457-5910
Mailing address
709 BRUSHY VALLEY RD, HEISKELL, TN 37754-2809
(865) 457-5910
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0024131
TN
Other
Enumeration date
05/30/2009
Last updated
05/30/2009
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