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1285266676
TERRA MICAH KING
TIPTONVILLE, TN
NPI
1285266676
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TN 27079)
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
Mrs. TERRA MICAH KING APRN, FNP-C
710 CARL PERKINS PKWY
TIPTONVILLE, TN 38079-1678
Phone number: 731-253-6690
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Mailing Address
Mrs. TERRA MICAH KING APRN, FNP-C
8794 MEADOWLARK CIR
SOUTH FULTON, TN 38257-7927
Phone number: 270-627-0662
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