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Individual

MISS HEATHER ROSE THOROGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2000 GLEN ECHO RD STE 111, NASHVILLE, TN 37215-2857
(615) 657-4805
Mailing address
PO BOX 936535, ATLANTA, GA 31193-6535

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
3222
OK
363AS0400X
Surgical Physician Assistant
Primary
5795
TN

Other

Enumeration date
08/29/2019
Last updated
03/12/2024
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