MS. Bonita Marie Southard

NPI #1124359450 in Madison, Tennessee

Provider Information

NPI Number
1124359450
Entity Type
Individual
Name
MS. Bonita Marie Southard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jan 27, 2010
Last Updated
Jan 27, 2010

Practice Location

Address
620 GALLATIN PIKE S
ZIP Code
37115-4013
Phone
(615) 460-4300

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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