Individual
DR. MATT REEVES WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2021 N BROADWAY ST, KNOXVILLE, TN 37917-5808
(865) 525-4189
(865) 525-9456
Mailing address
2021 N BROADWAY ST, KNOXVILLE, TN 37917-5808
(865) 525-4189
(865) 525-9456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000029615
TN
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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