Individual
BETTY BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
(931) 490-1480
Mailing address
2122 CIRCLE DR, COLUMBIA, TN 38401-4430
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00007560
TN
Other
Enumeration date
11/28/2013
Last updated
11/28/2013
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