Individual
AMY BACCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 SAUNDERSVILLE RD, HENDERSONVILLE, TN 37075-8967
(629) 888-5175
(629) 888-5176
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(629) 888-5175
(629) 888-5176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3470
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q038365
—
TN
Enumeration date
12/01/2014
Last updated
03/12/2020
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