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Individual

MRS. BRIDGETT NICOLE SPIVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPHT

Contact information

Practice address
758 HIGHWAY 46 S, DICKSON, TN 37055-2556
(615) 446-9865
(615) 446-9867
Mailing address
1248 ABIFF RD, BON AQUA, TN 37025-5030
(615) 347-5541
(615) 446-9867

Taxonomy

Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000014102
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
210113123419661
CPHT
TN
Enumeration date
05/09/2007
Last updated
07/08/2007
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