Individual
MRS. TAMMY REGINA HAGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PARK BLVD, ROGERSVILLE, TN 37857-2919
(423) 272-7641
(423) 921-8073
Mailing address
719 HIGHWAY 70 N, ROGERSVILLE, TN 37857-4005
(423) 272-0637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000030883
TN
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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