TARA VICK

JOHNSON CITY, TN
NPI1205851383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: TN  62336)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: NC  200101293)
Enumeration Date2006-07-12
Last Update Date2024-01-29
Business Address
TARA VICK MD
325 N STATE OF FRANKLIN RD FL 1
JOHNSON CITY, TN 37604-6056
Phone number: 423-439-7272
Mailing Address
TARA VICK MD
PO BOX 699
MOUNTAIN HOME, TN 37684-0699
Phone number: