Individual
MRS. LILLIA AFTON ZELLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
951 N BROAD ST, TAZEWELL, TN 37879-4323
(865) 658-5454
(423) 259-8662
Mailing address
951 N BROAD ST, TAZEWELL, TN 37879-4323
(865) 658-5454
(423) 259-8662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25917
TN
207R00000X
Internal Medicine Physician
25917
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25917
LISENCE NUMBER
TN
01
—
APN0000029517
APN0000025917
—
Enumeration date
07/01/2019
Last updated
02/02/2024
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