Individual
TERRY HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 HARDING DRIVE, SUITE B, LEBANON, TN 37087
(615) 453-1606
Mailing address
446 METROPLEX DR, SUITE A-100, NASHVILLE, TN 37211-3139
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3376955
GROUP MEDICARE
TN
Enumeration date
08/20/2007
Last updated
08/20/2007
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