STEVEN DOUGLAS TATUM

JOHNSON CITY, TN
NPI1841635281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  0000017566)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: VA  0024171753)
Enumeration Date2013-04-29
Last Update Date2017-02-27
Business Address
Mr. STEVEN DOUGLAS TATUM FNP
408 N STATE OF FRANKLIN RD SUITE 24
JOHNSON CITY, TN 37604-6089
Phone number: 423-431-1810
Mailing Address
Mr. STEVEN DOUGLAS TATUM FNP
408 N STATE OF FRANKLIN RD SUITE 24
JOHNSON CITY, TN 37604-6089
Phone number: 423-431-1810