Individual
EDEN BUCHANAN SHERROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2665 LAWNVILLE RD, KINGSTON, TN 37763-4303
(865) 696-1288
Mailing address
2667 LAWNVILLE RD, KINGSTON, TN 37763-4303
(865) 696-1288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12474
TN
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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