Individual
SAMARDIA MISSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
107 WOODLAWN DR STE 200, JOHNSON CITY, TN 37604-6287
(423) 929-7158
Mailing address
107 WOODLAWN DR STE 200, JOHNSON CITY, TN 37604-6287
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0000059403
TN
207RN0300X
Nephrology Physician
ME131895
FL
Other
Enumeration date
04/30/2014
Last updated
08/01/2025
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