Whalio Doctors

NPI 1215922356

Tidence Lane Prince, MD

Practitioner Allergy & Immunology Physician Maryville, TN

Practice location

Address
616 W. Lamar Alexander Parkway, Maryville, TN 37801-4763
Phone
(865) 273-0008
Mailing address
616 W. Lamar Alexander Parkway, Maryville, TN 37801-7360

Registered specialties

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 21247 (TN)

Registry record

NPI
1215922356
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Sep 2005
Record last updated
2 Jan 2026

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.