Individual
DR. TARA STURDIVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1522 CHEROKEE TRL, KNOXVILLE, TN 37920-2205
(865) 546-9221
Mailing address
1522 CHEROKEE TRL, KNOXVILLE, TN 37920-2205
(865) 546-9221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24940
TN
Other
Enumeration date
04/05/2006
Last updated
07/23/2007
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