Individual
MELODY CAMILLE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
121 FRANK DIGGS ROAD, CLINTON, TN 37716
(865) 457-8840
(865) 463-0756
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD38650
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3706633
MEDICARE GROUP
TN
Enumeration date
07/12/2005
Last updated
07/13/2011
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