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Individual

MATTHEW RYAN SEVIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN

Contact information

Practice address
1806 SHAYLIN LOOP, ANTIOCH, TN 37013-8404
(931) 261-2968
Mailing address
1806 SHAYLIN LOOP, ANTIOCH, TN 37013-8404

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
167088
TN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
18171
TN

Other

Enumeration date
10/10/2012
Last updated
01/28/2014
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