Individual
MRS. LAURA ASHLEY WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 RIVERCREST CIR, CARTHAGE, TN 37030-1574
(615) 934-1051
Mailing address
134 RIVERCREST CIR, CARTHAGE, TN 37030-1574
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7446
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7446
LICENSE
TN
Enumeration date
01/18/2022
Last updated
01/18/2022
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