Individual
BRIAN WITTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 WOODBURY ST, SHELBYVILLE, TN 37160-2758
(931) 684-0522
Mailing address
1162 BELL BUCKLE WARTRACE RD, WARTRACE, TN 37183-3063
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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