Individual
HOWARD MATTHEW BRYAN BAGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
115 DYER ST STE 1, COLUMBIA, TN 38401-4551
(931) 560-4220
(931) 560-4221
Mailing address
2849 VERONA CANEY RD, LEWISBURG, TN 37091-6547
(931) 637-7159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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