Individual
JULIE D PICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9413 APISON PIKE STE 108, OOLTEWAH, TN 37363-5628
(423) 396-2100
Mailing address
6103 HUNTER CREST DR, OOLTEWAH, TN 37363-6508
(423) 718-2387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
720
TN
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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