Individual
VERONICA BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 SHELLEY RENEE LN, CORDOVA, TN 38018-4310
(901) 303-2664
Mailing address
447 SHELLEY RENEE LN, CORDOVA, TN 38018-4310
(901) 303-2664
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
179691
TN
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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