Individual
PEGGY JOHNSON-SUTTLE HIWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
266 NORTH ST, BRISTOL, TN 37620-1660
(423) 989-4550
(423) 989-4582
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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