Individual
DR. TIDENCE LANE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
616 W. LAMAR ALEXANDER PARKWAY, MARYVILLE, TN 37801-4763
(865) 273-0008
Mailing address
616 W. LAMAR ALEXANDER PARKWAY, MARYVILLE, TN 37801-7360
(865) 273-0008
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
21247
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068515
—
TN
Enumeration date
09/14/2005
Last updated
01/02/2026
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