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Individual

AMANDA SMELTZER GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
10820 PARKSIDE DR, KNOXVILLE, TN 37934-1956
(865) 218-7075
Mailing address
559 OLD GLORY RD, MARYVILLE, TN 37801-7843
(865) 776-1171

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33079
TN

Other

Enumeration date
03/26/2020
Last updated
03/26/2020
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