Individual
PHILIP SEGRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5408 REAGAN RUN, ANTIOCH, TN 37013-5383
(615) 573-4358
Mailing address
5408 REAGAN RUN, ANTIOCH, TN 37013-5383
(615) 573-4358
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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