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Individual

DR. WHITNEY ROOP MAULDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AU.D,FAAA,CCC-A

Contact information

Practice address
9724 KINGSTON PIKE, SUITE 205, KNOXVILLE, TN 37922-3347
(865) 694-9870
(865) 694-9871
Mailing address
9724 KINGSTON PIKE, SUITE 205, KNOXVILLE, TN 37922-3347
(865) 694-9870
(865) 694-9871

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1197
TN
231HA2500X
Assistive Technology Supplier Audiologist
1197
TN
237600000X
Audiologist-Hearing Aid Fitter
1197
TN
237600000X
Audiologist-Hearing Aid Fitter
3590
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1504820
TN
01
3148987
BLUECROSSBLUE SHIELD
TN
05
3148987
TN
01
31920111
MEDICARE NPI
TN
01
4171594
BCBS
TN
01
4640001
UNITED HEALTH CARE
TN
Enumeration date
07/27/2006
Last updated
06/25/2015
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