Individual
DONNA SUZANNE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9221 MIDDLEBROOK PIKE, SUITE 102, KNOXVILLE, TN 37931-4764
(865) 539-2873
(865) 539-2969
Mailing address
9221 MIDDLEBROOK PIKE, SUITE 102, KNOXVILLE, TN 37931-4764
(865) 539-2873
(865) 539-2969
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
87767
TN
Other
Enumeration date
12/17/2006
Last updated
09/14/2011
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