Individual
MS. TONYA CELESTE GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 W END AVE, DICKSON, TN 37055-1725
(615) 446-2839
(615) 441-1900
Mailing address
1076 GLENDALE RD, WHITE BLUFF, TN 37187-4723
(615) 289-8761
(615) 441-1900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000055597
TN
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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