Individual
TIFFANY DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3026 LAKE CITY HWY, ROCKY TOP, TN 37769-5533
(865) 246-8941
Mailing address
3026 LAKE CITY HWY, ROCKY TOP, TN 37769-5533
(865) 246-8941
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
245722
TN
Other
Enumeration date
01/01/2024
Last updated
01/01/2024
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