Individual
TINA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 ELM HILL PIKE, 208, NASHVILLE, TN 37210-4523
(615) 485-0455
(615) 361-8280
Mailing address
1451 ELM HILL PIKE, 208, NASHVILLE, TN 37210-4523
(615) 485-0455
(615) 361-8280
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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