Individual
ASHLIE BROOKE SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 OLIVIA LN, SODDY DAISY, TN 37379-4182
(423) 451-9572
Mailing address
408 OLIVIA LN, SODDY DAISY, TN 37379-4182
(423) 451-9572
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36413
TN
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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