Individual
BRANTLEY ALLEN THIGPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2128, FELLOWSHID RD, MOUNT JULIET, TN 37122
(615) 906-5669
Mailing address
2128, FELLOWSHID RD, MOUNT JULIET, TN 37122
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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