Individual
GAYLE ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 STUDENTS HOME RD, SMITHVILLE, TN 37166-7736
(615) 215-8033
(615) 215-8033
Mailing address
2323 STUDENTS HOME RD, SMITHVILLE, TN 37166-7736
(615) 215-8033
(615) 215-8033
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1000000006161
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445428
—
TN
Enumeration date
08/10/2010
Last updated
08/10/2010
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