Individual
SIERRA CHEYENNE MCCULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N MAIN ST, CLINTON, TN 37716-3143
(865) 425-8001
Mailing address
710 N MAIN ST, CLINTON, TN 37716-3143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000212417
TN
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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