Individual
MS. CYNTHIA FOGG ESLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 WASHINGTON ST W, SUITE A, FAYETTEVILLE, TN 37334-2872
(931) 433-3231
(931) 438-1567
Mailing address
444 CRYSTAL RIDGE RD, MULBERRY, TN 37359-5126
(931) 433-3231
(931) 438-1567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000080655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN0000080655
TENNESSEE STATE LICENSE N
TN
Enumeration date
02/26/2007
Last updated
07/08/2007
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