Individual
MRS. TAMMY C SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1242 HIGHWAY 100, CENTERVILLE, TN 37033-1042
(931) 729-9162
(931) 729-9163
Mailing address
1242 HIGHWAY 100, CENTERVILLE, TN 37033-1042
(931) 729-9162
(931) 729-9163
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
I438-046-9362
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H445049
—
TN
Enumeration date
09/14/2006
Last updated
07/09/2007
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