Individual
MELODY GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1596 HIGHWAY 33 S, NEW TAZEWELL, TN 37825-7104
(423) 626-8271
(865) 342-0106
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN200435
TN
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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