Individual
JAMES BRANDON BAGWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2780 HIGHWAY 31 W, WHITE HOUSE, TN 37188-8967
(615) 517-0081
Mailing address
2780 HIGHWAY 31 W, WHITE HOUSE, TN 37188-8967
(615) 517-0081
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0000013185
TN
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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