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NPI Code Detail

MEDICARE: MRS. BRAANN TERESA PAXTON

MEDICARE: MRS. BRAANN TERESA PAXTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1376869479
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRAANN TERESA PAXTON
Provider Business Mailing Address
First Line : 111 HOLLYWOOD HILLS DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-6844
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 HOLLYWOOD HILLS DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-6844
Country : US
Telephone Number : 615-631-5933
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2010
Last Update Date : 04/14/2010

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Directions to “ MRS. BRAANN TERESA PAXTON ” Practice Location

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