Individual
EDDIE KEITH CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH.
Contact information
Practice address
419 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1758
(615) 666-6303
(615) 666-2979
Mailing address
419 HIGHWAY 52 BYP W, LAFAYETTE, TN 37083-1758
(615) 666-6303
(615) 666-2979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6084
TN
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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