Individual
MR. BOBBY UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNFA
Contact information
Practice address
409 HAY LONG AVE, MOUNT PLEASANT, TN 38474-1434
(931) 379-4092
Mailing address
409 HAY LONG AVE, MOUNT PLEASANT, TN 38474-1434
(931) 379-4092
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN0000105025
TN
163WR0006X
Registered Nurse First Assistant
Primary
RN0000105025
TN
Other
Enumeration date
02/07/2006
Last updated
02/20/2012
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