Individual
ROBERT DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8201 MOUNT CARMEL RD, BRIGHTON, TN 38011-7047
(901) 294-3060
Mailing address
8201 MOUNT CARMEL RD, BRIGHTON, TN 38011-7047
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4514
TN
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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