Individual
MISS JOYCE AMA ADDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS
Contact information
Practice address
1804 MAIN STREET, RAINBOW PEDIATRIC, HUMBOLDT, TN 38343
(731) 784-7833
(731) 784-7856
Mailing address
111 LAKE PARK DR, MARTIN, TN 38237-1316
(731) 588-0777
(731) 588-0777
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PENDING
TN
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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