Individual
DETRA SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5324 MOUNT VIEW RD, ANTIOCH, TN 37013-2307
(615) 717-1006
Mailing address
5324 MOUNT VIEW RD, ANTIOCH, TN 37013-2307
(615) 717-1006
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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