Individual
THERESA ELIZABETH MANTOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 GILL ST, ALCOA, TN 37701-2672
(865) 379-4210
Mailing address
107 GILL ST, ALCOA, TN 37701-2672
(865) 379-4210
(865) 379-4215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74831
TN
Other
Enumeration date
04/05/2022
Last updated
07/25/2025
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