Individual
DR. SHAMOLIE NICOLE WYCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5651 FRIST BLVD, STE 712, HERMITAGE, TN 37076-2054
(615) 872-9966
(615) 872-9967
Mailing address
15180 OLD HICKORY BLVD, #417, NASHVILLE, TN 37211-6503
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
P20277
MD
208VP0000X
Pain Medicine Physician
Primary
48072
TN
Other
Enumeration date
01/31/2007
Last updated
01/10/2022
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