MERIELLE KAYTE PROCTOR

COLUMBIA, TN
NPI1467048876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  4368)
Enumeration Date2020-12-19
Last Update Date2020-12-19
Business Address
MERIELLE KAYTE PROCTOR
1815 DIMPLE CT
COLUMBIA, TN 38401-3909
Phone number: 931-446-0485
Mailing Address
MERIELLE KAYTE PROCTOR
1815 DIMPLE CT
COLUMBIA, TN 38401-3909
Phone number: 931-446-0485