Doctor Name: | TAMMY S HARRIS |
NPI Number: | 1407104623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 196 |
Business Practice Address: | 163 Business Park Dr Ste 11 Lebanon, TN - 370901241 |
Business Phone Number: | 6154434445 |
Business Fax Number: | 6154434448 |
Mailing Address: | 405 Bridge Ave, Apt 1 MURFREESBORO |
State: | TN |
Postal Code: | 371293457 |
Phone Number: | 6156310031 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2012 |
NPI Last Update Date: | 08/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 196 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |