Individual
DR. VERAN ANTONITA FAIRROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
2245 YORK RD, WOODLAWN, TN 37191-9159
(615) 772-3267
Mailing address
2245 YORK RD, WOODLAWN, TN 37191-9159
(615) 772-3267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11218
KY
122300000X
Dentist
Primary
DS0000005248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3202696
—
TN
Enumeration date
08/18/2006
Last updated
07/24/2024
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