SearchTennessee101YM0800X

Susan Fortner

NPI 1275241572 · on the registry since 2022

Practice

Address
214 Main St
Baxter, TN 38544
Phone
(931) 588-0475
Organisation at this address
Wildly Curative
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-07

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