Individual
MAEVE ROSE OATSVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1412 TROTWOOD AVE STE 39, COLUMBIA, TN 38401-4948
(931) 901-0296
Mailing address
1412 TROTWOOD AVE STE 39, COLUMBIA, TN 38401-4948
(931) 901-0296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6167
TN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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