Individual
JESSIE LOVINGOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
733 LAWRENCE ST, ETOWAH, TN 37331-2712
(423) 263-4313
Mailing address
18 S MATLOCK AVE, ATHENS, TN 37303-4002
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28102
TN
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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