Individual
BOB CAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
222 RED WING LN, DEER LODGE, TN 37726-3815
(931) 704-6489
Mailing address
PO BOX 565, DEER LODGE, TN 37726-0565
(931) 704-6489
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91839
TN
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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