Individual
MRS. DEBORAH J WEATHERLY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1325 E WOOD ST, PARIS, TN 38242-4421
(731) 648-0451
Mailing address
840 WEATHERLY RD, CAMDEN, TN 38320-6473
(731) 584-3747
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000016380
TN
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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