Individual
BONNY M HADACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5520 HIGH ST, OOLTEWAH, TN 37363-8131
(423) 238-4269
Mailing address
9303 SEASONS DR, CHATTANOOGA, TN 37421-5323
(423) 899-9703
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000037819
TN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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