Individual
DORIS BALLARD HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1704 E BROADWAY AVE, MARYVILLE, TN 37804-2916
(865) 681-6990
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
270975
TN
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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