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Individual

EMMA GAMMILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
251 MAJORS BLVD RM 1, LYNCHBURG, TN 37352-8325
(931) 759-4251
(931) 759-6380
Mailing address
251 MAJORS BLVD RM 1, LYNCHBURG, TN 37352-8325
(931) 759-4251
(931) 759-6380

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000075019
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6401
HEALTH DEPARTMENT
TN
Enumeration date
01/12/2015
Last updated
01/12/2015
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