Provider Information for 1609508431
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ELIZABETH DEVAUGHN
Sex: Female
NPI: 1609508431
Last Updated: 2022-06-29
Certification Date: 2022-06-29
Certification Date: 2022-06-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1609508431 | ||||||||
| Enumeration Date | 2022-06-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 33 ERIN LN NASHVILLE, TN 37221-5232 United States Phone: 615-389-6150 | Fax: | ||||||||
| Primary Practice Address | 33 ERIN LN NASHVILLE, TN 37221-5232 United States Phone: 615-389-6150 | Fax: | ||||||||
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