Individual
G G LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 LOCUST ST APT 4, SUITE # 4, ROGERSVILLE, TN 37857-2449
(423) 293-0741
(423) 293-0741
Mailing address
802 LOCUST ST, SUITE # 4, ROGERSVILLE, TN 37857-2462
(423) 293-0741
(423) 293-0741
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
978 RTT
TN
Other
Enumeration date
05/24/2010
Last updated
04/11/2011
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