Individual
MRS. ANNIE SUE NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 ANN WILSON ROAD, SEQUATCHIE, TN 37374
(423) 942-5723
Mailing address
545 ANN WILSON ROAD, SEQUATCHIE, TN 37374
(423) 942-5723
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
TN
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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