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Individual

ATLANTA GAYLE RUSSELL MCCRAVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2166 E BROADWAY AVE, MARYVILLE, TN 37804-3035
(865) 273-9024
(865) 273-9025
Mailing address
1223 BUFORD CT, GREENBACK, TN 37742-3044
(423) 200-7505

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
27664
TN

Other

Enumeration date
07/21/2020
Last updated
05/20/2022
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