MICKI LEE WHITLOCK

ELIZABETHTON, TN
NPI1316259203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  15083)
Enumeration Date2010-07-08
Last Update Date2010-07-08
Business Address
Mrs. MICKI LEE WHITLOCK NP-C
2521 BEECHWOOD DR
ELIZABETHTON, TN 37643-5062
Phone number: 423-543-7919
Mailing Address
Mrs. MICKI LEE WHITLOCK NP-C
2521 BEECHWOOD DR
ELIZABETHTON, TN 37643-5062
Phone number: 423-543-7919