Individual
MARY MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 W BURTON ST, MURFREESBORO, TN 37130-3657
(615) 898-7977
Mailing address
100 W BURTON ST, MURFREESBORO, TN 37130-3657
(615) 898-7977
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000029723
TN
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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