Individual
BRENDA TOLLIVER SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 KENNY RD, MARTIN, TN 38237-5650
(731) 587-3797
(731) 587-3798
Mailing address
113 KENNY RD, MARTIN, TN 38237-5650
(731) 587-3797
(731) 587-3798
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q024081
—
TN
Enumeration date
10/17/2016
Last updated
10/17/2016
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