Individual
TAMARA J. WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPA
Contact information
Practice address
2629 REAGAN RD, KNOXVILLE, TN 37931-3702
(865) 771-7148
Mailing address
2629 REAGAN RD, KNOXVILLE, TN 37931-3702
(865) 771-7148
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
656
TN
363AM0700X
Medical Physician Assistant
656
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516585
—
TN
Enumeration date
03/21/2007
Last updated
01/29/2025
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