Individual
MALINDA N HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8775
Mailing address
2018 W CLINCH AVE, KNOXVILLE, TN 37916-2301
(865) 541-8775
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
53020
MN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD0000052128
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
SD
05
—
ENROLLED
—
WI
Enumeration date
08/06/2009
Last updated
07/24/2015
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