Individual
SHERRY MAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H., M.S.A.H.
Contact information
Practice address
461 NEW BETHEL RD, PINEY FLATS, TN 37686-4032
(423) 967-0417
Mailing address
461 NEW BETHEL RD, PINEY FLATS, TN 37686-4032
(423) 967-0417
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH4367
TN
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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