Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 45989 | TN |
NPI | 1003075862 |
---|---|
Provider Name | Akashia Anderson |
First Address | Murfreesboro, TN 37129-2589 |
Second Address | Murfreesboro, TN 37129-1557 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 10/07/2015 |