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Contact Information

BOBBY UNDERWOOD, CRNFA
409 HAY LONG AVE
MOUNT PLEASANT, TN38474-1434
 Phone: 931-379-4092
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
 

General Practice

163WG0000X
Indicates primary specialty

NPI Profile & details for BOBBY UNDERWOOD · (Male)

NPI Number 1972575512
Status Active
Credentials CRNFA
Entity Individual
Enumeration date 02/07/2006
Last updated 02/20/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # RN0000105025
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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