Individual
BRENDA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
4230 HARDING RD, STE 300, NASHVILLE, TN 37205-2013
(615) 783-1269
Mailing address
PO BOX 253, COTTONTOWN, TN 37048-0253
(615) 230-1892
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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