; NPI #1194409748

Contact Information

LETRELLE D BROADEN

100 BATEY CIR STE C
DICKSON, TN 37055-1044

Phone: 877-676-1399
Fax: 931-236-0024
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Private Vehicle	347C00000X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1194409748`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	06/14/2023
Last updated	06/14/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Private Vehicle

NPI Profile & details for

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