Individual
MARY MARTIN MOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
300 STONECREST BLVD, SUITE 410, SMYRNA, TN 37167-5688
(615) 220-6144
Mailing address
300 STONECREST BLVD, SUITE 410, SMYRNA, TN 37167-5688
(615) 220-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000019556
TN
Other
Enumeration date
06/25/2015
Last updated
02/04/2022
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