Individual
DEBORAH WYATT GADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
24 MOUNTAIN VIEW DR, SUITE A, KIMBALL, TN 37347-5477
(423) 942-9171
(423) 942-9128
Mailing address
24 MOUNTAIN VIEW DR, SUITE A, KIMBALL, TN 37347-5477
(423) 942-9171
(423) 942-9128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16232
TN
Other
Enumeration date
12/16/2011
Last updated
05/20/2013
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