Individual
DR. TOMMY D. KNOWLES-BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
1024 NOELTON AVE, NASHVILLE, TN 37204-3232
(615) 972-7652
Mailing address
1024 NOELTON AVE, NASHVILLE, TN 37204-3232
(615) 972-7652
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
CPT 07
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4110514
BLUE CROSS ANDBLUE SHIELD
TN
Enumeration date
12/05/2006
Last updated
09/09/2009
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