NPI 1104474972

Gwyneth Davis Mabry

Practitioner Attendant Care Provider Soddy Daisy, TN

Practice location

Address: 9502 Glenda Ln, Soddy Daisy, TN 37379-3444
Phone: (423) 991-8907

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X

Other Technician providers in Tennessee →

Registry record

NPI: 1104474972
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2019
Record last updated: 26 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.