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1164198073
MARIAH MICHELLE WINNINGHAM
MARYVILLE, TN
NPI
1164198073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 30102)
Enumeration Date
2021-08-19
Last Update Date
2022-08-25
Business Address
MRS. MARIAH MICHELLE WINNINGHAM FNP-C
162 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804-5902
Phone number: 865-982-7681
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Mailing Address
MRS. MARIAH MICHELLE WINNINGHAM FNP-C
103 W BROADWAY AVE
MARYVILLE, TN 37801-4703
Phone number: 865-273-1752
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