Individual
NANCY LUONGO WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
150 W PRICE RD, DANDRIDGE, TN 37725-4524
(865) 475-6161
(865) 475-9857
Mailing address
150 W PRICE RD, DANDRIDGE, TN 37725-4524
(865) 475-6161
(865) 475-9857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1535
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3300028
—
TN
Enumeration date
07/15/2005
Last updated
02/09/2024
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