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Individual

TASKA L MORELOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
742 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5019
(865) 446-8800
(865) 560-8960
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
(865) 539-8000
(865) 560-8960

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2490
TN
363AM0700X
Medical Physician Assistant
PA2490
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
KY
05
Q008580
TN
Enumeration date
04/25/2014
Last updated
10/21/2024
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