Individual
GINGER CANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
249 OLIVER EDWARDS RD, JONESBOROUGH, TN 37659-6537
(423) 341-6963
(423) 753-6952
Mailing address
109 THOMPSON ST, KINGSPORT, TN 37660-1643
(423) 914-9854
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519673
—
TN
Enumeration date
08/01/2008
Last updated
06/18/2011
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