Individual
DAPHNE MAPLES MCCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 EAST VANCE RD, OAK RIDGE, TN 37830
(865) 482-4088
(865) 481-0329
Mailing address
P.O. BOX 15004, KNOXVILLE, TN 37901
(865) 522-9730
(865) 637-2520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33923
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64054869
—
KS
05
—
Q003897
—
TN
Enumeration date
07/15/2006
Last updated
11/18/2019
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