Individual
DEBRA SANDERCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 E VANN RD, GREENEVILLE, TN 37743-7202
(423) 278-2955
(423) 278-1976
Mailing address
428 E VANN RD, GREENEVILLE, TN 37743-7202
(423) 278-2955
(423) 278-1976
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARN0000012945
TN
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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