Individual
JOANN L. DATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD,PHD
Contact information
Practice address
777 PIN HOOK RD, SPARTA, TN 38583-4460
(931) 761-2918
(931) 761-2918
Mailing address
777 PIN HOOK RD, SPARTA, TN 38583-4460
(931) 761-2918
(931) 761-2918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0000008104
TN
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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