Individual
STEPHANIE WYRICK HARTLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
2736 MISTY RIDGE DR, LENOIR CITY, TN 37772-5678
(865) 988-6408
(865) 988-6408
Mailing address
2736 MISTY RIDGE DR, LENOIR CITY, TN 37772-5678
(865) 988-6408
(865) 988-6408
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
07/28/2009
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