Individual
SHERRY GOOD STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CORNER OF LAMONT AND VETERANS WAY, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Mailing address
PO BOX 4000, MOUNTAIN HOME, TN 37684-4000
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
0001249193
VA
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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