Individual
CHRYSTIE D BOHANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-9867
Mailing address
1997 HIGHWAY 51 S, COVINGTON, TN 38019-3630
(901) 476-9867
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000067126
TN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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