Individual
DR. BIANCA JUSELLE SWEETEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1407 UNION AVE, SUITE 305, MEMPHIS, TN 38104-3627
(901) 844-1459
(901) 274-3475
Mailing address
1407 UNION AVE, SUITE 305, MEMPHIS, TN 38104-3627
(901) 844-1459
(901) 274-3475
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34353
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523554
—
TN
05
—
3857960
—
TN
Enumeration date
09/22/2006
Last updated
07/19/2011
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