Individual
SUSAN P ABERNATHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1410 TUSCULUM BLVD, SUITE 2500, GREENEVILLE, TN 37745-5821
(423) 638-1291
(423) 638-9398
Mailing address
1410 TUSCULUM BLVD, SUITE 2500, GREENEVILLE, TN 37745-5821
(423) 638-1291
(423) 638-9398
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1381
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3373004
—
TN
Enumeration date
05/05/2006
Last updated
09/28/2021
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