Individual
DUSTY LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1810 TOLIVER TRCE, MOUNT JULIET, TN 37122-4940
(615) 831-3711
(615) 831-3713
Mailing address
PO BOX 110339, NASHVILLE, TN 37222-0339
(615) 831-3711
(615) 831-3713
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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