Individual
MISS HEATHER DENISE QUANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
(931) 461-1304
Mailing address
232 RIGNEY DR, MANCHESTER, TN 37355-2944
(931) 728-2984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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