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NPI Code Detail

MEDICARE: MRS. TAMERA SUE BIRD

MEDICARE: MRS. TAMERA SUE BIRD
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
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1831229400
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMERA SUE BIRD
Provider Business Mailing Address
First Line : 513 TIMBERLANE AVE
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-4139
Country : US
Telephone Number : 931-455-9369
Fax Number : 931-455-4827
Provider Business Practice Location Address
First Line : 615 WILSON AVE
Second Line :
City : TULLAHOMA
State : TN
Zip : 37388-3264
Country : US
Telephone Number : 931-455-9369
Fax Number : 931-455-4827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. TAMERA SUE BIRD ” Practice Location

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