Individual
MICHAEL MILLER MESSAMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 CAIN DR, BLOUNTVILLE, TN 37617-4824
(423) 279-0841
Mailing address
205 CAIN DRIVE, BLOUNTVILLE, TN 37617
(423) 279-0841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5664
TN
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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