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NPI Code Detail

MEDICARE: ANNABELLE CANNON BRIGHT

MEDICARE: ANNABELLE CANNON BRIGHT
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326707720
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNABELLE CANNON BRIGHT
Provider Business Mailing Address
First Line : 1100 57TH AVE N
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1941
Country : US
Telephone Number : 901-378-1315
Fax Number :
Provider Business Practice Location Address
First Line : 1305 16TH AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37212-2923
Country : US
Telephone Number : 615-578-7411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2021
Last Update Date : 12/13/2021

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Directions to “ ANNABELLE CANNON BRIGHT ” Practice Location

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