Individual
TARA MICHELLE DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
6350 W A J HWY, TALBOTT, TN 37877
(423) 587-7337
(423) 586-0614
Mailing address
DEPT 888182, KNOXVILLE, TN 37995-8182
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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