Individual
DR. HIEDILIZA Y TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 207-3509
Mailing address
PO BOX 688, ALCOA, TN 37701-0688
(865) 207-3509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36002
TN
207RI0200X
Infectious Disease Physician
Primary
36002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3872046
—
TN
Enumeration date
02/15/2006
Last updated
02/19/2026
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