Individual
RUTH DIANNE CORLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1155 KENNEDY DR, SUITE 201D, MURFREESBORO, TN 37129-2260
(615) 849-1717
(615) 849-8858
Mailing address
515 STONECREST PKWY, STE 210, SMYRNA, TN 37167-6826
(615) 625-7112
(615) 625-7028
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0091
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5442158
—
TN
Enumeration date
07/09/2006
Last updated
01/21/2013
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