Individual
DR. BARBARA MIKICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
560 FIRE STATION RD, CLARKSVILLE, TN 37043-4016
(931) 358-4146
(931) 358-4147
Mailing address
560 FIRE STATION RD, CLARKSVILLE, TN 37043-4016
(931) 358-4146
(931) 358-4147
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
30631
KY
208D00000X
General Practice Physician
Primary
MD0000026924
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4021038
BC BS OF TN
TN
Enumeration date
03/14/2007
Last updated
07/08/2007
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