Individual
TAMMY BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7089 WHITES CREEK PIKE, JOELTON, TN 37080-8665
(615) 876-7185
(615) 876-4412
Mailing address
PO BOX 787, JOELTON, TN 37080-0787
(615) 876-7185
(615) 876-4412
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
51565
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445130
—
TN
Enumeration date
07/22/2014
Last updated
07/22/2014
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