Sandra D Braddy, TN PEER SPECIALIST

NPI #1699070797 in Dyersburg, Tennessee

Provider Information

NPI Number: 1699070797
Entity Type: Individual
Name: Sandra D Braddy, TN PEER SPECIALIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: TN PEER SPECIALIST
Enumeration Date: Jan 20, 2011
Last Updated: Jan 20, 2011

Practice Location

Address: 2035 SAINT JOHN AVE
City: Dyersburg
State: Tennessee
ZIP Code: 38024-2209
Phone: (731) 541-8344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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