Individual
MRS. STACEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
7760 TRINITY RD STE 101, CORDOVA, TN 38018-2739
(901) 737-9720
Mailing address
7760 TRINITY RD STE 101, CORDOVA, TN 38018-2739
(901) 737-9720
Taxonomy
Speciality
Code
Description
License number
State
1835N0905X
Nuclear Pharmacist
Primary
8909
TN
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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