Individual
TIA NICOLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 NASHVILLE HWY, LEWISBURG, TN 37091-2948
(931) 359-0307
Mailing address
2121 PHILLIPS ST, LEWISBURG, TN 37091-3034
(931) 309-6486
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2011
Last updated
03/16/2011
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