Individual
GINNY CAUDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 WALKER ST, SPARTA, TN 38583-1725
(931) 836-2201
Mailing address
135 WALKER ST, SPARTA, TN 38583-1725
(931) 836-2201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
203168
TN
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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