SearchTennessee225100000X

Ida Daughtry

NPI 1053715870 · on the registry since 2014 · sole proprietor

Practice

Address
1120 Twin Circle Drive
Nashville, TN 37217
Phone
(205) 612-1715

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee