Individual
DERRICK HOWERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4951 BRIGHTON LN, HIXSON, TN 37343-4260
(423) 255-9657
Mailing address
4951 BRIGHTON LN, HIXSON, TN 37343-4260
(423) 255-9657
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
TN
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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