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Individual

DON ERICK MCILWAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
300 LABORATORY RD, OAK RIDGE, TN 37830-6911
(865) 482-7698
Mailing address
300 LABORATORY RD, OAK RIDGE, TN 37830-6911
(865) 482-7698

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2355
TN

Other

Enumeration date
10/20/2016
Last updated
10/20/2016
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