Individual
DR. TANIKA M. PINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1114 W 7TH ST, COLUMBIA, TN 38401-1810
(931) 388-9706
(931) 490-1062
Mailing address
PO BOX 2278, KINSTON, NC 28502-2278
(252) 522-9800
(252) 523-9790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2020-04516
NC
207Q00000X
Family Medicine Physician
43965
TN
207QS0010X
Sports Medicine (Family Medicine) Physician
43965
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I089193
MEDICARE
TN
05
—
1518287
—
TN
01
—
3710144
GROUP - MEDICARE
TN
Enumeration date
03/28/2007
Last updated
03/25/2021
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