Individual
TARA MARIE PIANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6145 SHALLOWFORD RD STE 102, CHATTANOOGA, TN 37421-7808
(423) 893-6890
Mailing address
6747 PERSIMMON RDG, LOUDON, TN 37774-4773
(303) 946-6877
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
03/09/2022
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