NPI 1184153264
Tara Mistell Douglas
Practice location
- Address
- 279 Underpass Dr, Oneida, TN 37841-5885
- Phone
- (423) 569-7800
- Mailing address
- 749 Bart Grant Hollow Rd, Winfield, TN 37892-3664
Registered specialties
Pharmacy Technician
Primary
Registry record
- NPI
- 1184153264
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jun 2017
- Record last updated
- 12 Jun 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.