Individual
MR. ANTHONY EUGENE OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2325 NASHVILLE PIKE APT 331, GALLATIN, TN 37066-6017
(615) 887-1393
Mailing address
2325 NASHVILLE PIKE APT 331, GALLATIN, TN 37066-6017
(615) 887-1393
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000071489
TN
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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