Individual
ELIZABETH ANN EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 MARBURY XING, TULLAHOMA, TN 37388-2215
(931) 455-0408
Mailing address
111 MARBURY XING, TULLAHOMA, TN 37388-2215
(931) 455-0408
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1700
TN
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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