Individual
DIANA TAPU SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WHEELERTOWN AVE, PIKEVILLE, TN 37367-5247
(952) 457-2771
Mailing address
136 WHEELERTOWN AVE, PIKEVILLE, TN 37367-5247
(952) 457-2771
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5548
TN
Other
Enumeration date
01/30/2023
Last updated
08/28/2023
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