Individual
SUSAN L BOHANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
90 YUM YUM RD, SOMERVILLE, TN 38068-4541
(901) 465-5243
Mailing address
780 GLADE SPRINGS DR, SOMERVILLE, TN 38068-4510
(901) 465-9373
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000069158
TN
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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