GREGORY WAYNE HALTOM

GALLATIN, TN
NPI1538489539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: TX  SA00211)
Enumeration Date2010-06-02
Last Update Date2011-07-04
Business Address
Mr. GREGORY WAYNE HALTOM LSA
509 RYAN AVE
GALLATIN, TN 37066-6621
Phone number: 615-230-1714
Mailing Address
Mr. GREGORY WAYNE HALTOM LSA
509 RYAN AVE
GALLATIN, TN 37066-6621
Phone number: 615-230-1714