Individual
ANGELA ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5885 BRADFORD HICKS DRIVE, TN DEPT OF HEALTH, LIVINGSTON, TN 38570
(931) 823-5821
Mailing address
PO BOX 156, BYRDSTOWN, TN 38549-0156
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106961
TN
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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