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Brian Bagby

Case Manager/Care Coordinator in Tullahoma, TN. Individual provider (NPI-1).

NPI number1881010080
StatusActive
Last updated in NPPESMar 12, 2014

Details

NPI
1881010080
Entity type
Individual (NPI-1)
Name
Brian Bagby
Sex
Male
Sole proprietor
No
Enumeration date
Mar 12, 2014
Last updated
Mar 12, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

709 Davidson St
Tullahoma, TN 37388-3607

Phone 931-393-5900

Mailing address

709 Davidson St
Tullahoma, TN 37388-3607

Phone 931-393-5900

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