Individual
AJIA PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 LAWRENCE WAY, LEBANON, TN 37087-5044
(615) 601-1504
Mailing address
167 LAWRENCE WAY, LEBANON, TN 37087-5044
(615) 601-1504
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
145299390
TN
Other
Enumeration date
05/24/2024
Last updated
07/08/2024
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