Individual
MR. LEWIS STUBBS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2629 FAIRVIEW BLVD, FAIRVIEW, TN 37062-9084
(615) 799-2389
Mailing address
7208 MEADOWWOOD RD, FAIRVIEW, TN 37062-9166
(615) 426-5503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
150000
TN
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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