Individual
MRS. AUTUMN DANIELLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 STAGGS RD, ETHRIDGE, TN 38456-5817
(931) 477-6111
Mailing address
152 STAGGS RD, ETHRIDGE, TN 38456-5817
(931) 477-6111
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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