Individual
SUSAN B HARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
597 SHELBYVILLE RD, MCMINNVILLE, TN 37110-7540
(931) 815-6000
(931) 815-6006
Mailing address
597 SHELBYVILLE RD, MCMINNVILLE, TN 37110-7540
(931) 815-6000
(931) 815-6006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20238
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512478
—
TN
01
—
4222211
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
TN0104
AMERICHOICE
TN
Enumeration date
07/20/2006
Last updated
06/24/2019
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