SANDRA D BRADDY TN PEER SPECIALIST
NPI 1699070797
Specialist in Dyersburg, TN
- Individual
- Female
- Specialist
About SANDRA BRADDY
This page provides the complete NPI Profile along with additional information for Sandra Braddy, a provider established in Dyersburg, Tennessee with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1699070797 assigned on January 2011. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1699070797 Verify this NPI
- Provider Name
- SANDRA D BRADDY TN PEER SPECIALIST
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2035 SAINT JOHN AVE DYERSBURG, TN 38024
- Location Phone
- (731) 541-8344
- Location Fax
- (731) 541-8970
- Mailing Address
- 238 SUMMAR DR JACKSON, TN 38301
- Mailing Phone
- (731) 541-8344
- Mailing Fax
- (731) 541-8970
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-20-2011
- Last Update Date
- 01-20-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
DYERSBURG, TN 38024
DYERSBURG, TN 38024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699070797, enumerated as an "individual" on January 20, 2011.
The provider is located at 2035 SAINT JOHN AVE DYERSBURG, TN 38024 and the phone number is (731) 541-8344.
Specialist with taxonomy code 174400000X.
