Individual
AMANDA MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2101 MEDICAL CENTER WAY, KNOXVILLE, TN 37920-3257
(865) 546-9221
Mailing address
246 DOVE DR, SEVIERVILLE, TN 37876-2183
(865) 216-7892
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6796
TN
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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