Most Relevant Information
Provider Data
| NPI Number: | 1003423062 |
| Provider Name: | TAMMY L HEDRICK |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/24/2020 |
| Last Updated: | 03/03/2021 |
Provider Practice Location
217 SENIOR LN
PARSONS
WV
262871321
Practice Location Phone/Fax
| Phone: | 3044782423 |
| Fax: |
Provider Mailing Location
217 SENIOR LN
PARSONS
WV
262871321
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |