Individual
MACKENZIE CAITLIN GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MEDICAL CENTER WAY, KNOXVILLE, TN 37920-3257
(865) 549-5237
Mailing address
3664 HICKORY VALLEY RD, MAYNARDVILLE, TN 37807-1912
(865) 599-5358
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
230633
TN
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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