Detra Simpson

NPI #1578806865 in Antioch, Tennessee

Provider Information

NPI Number: 1578806865
Entity Type: Individual
Name: Detra Simpson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist - Prosthetics Case Management
Enumeration Date: Apr 4, 2013
Last Updated: Apr 4, 2013

Practice Location

Address: 5324 MOUNT VIEW RD
City: Antioch
State: Tennessee
ZIP Code: 37013-2307
Phone: (615) 717-1006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist - Prosthetics Case Management — Prosthetics Case Management	1744P3200X	Primary

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