Tidence Lane Prince in Maryville - Allergy & Immunology
Tidence Lane Prince - NPI 1215922356
Tidence Lane Prince is a Allergy & Immunology in Maryville, Tennessee. Tidence Lane Prince practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Tidence Lane Prince is 1215922356. The last update date is 2018-02-08.
Tidence Lane Prince's current location address is 611 Morganton Square Dr, Maryville, Tennessee. You can contact this provider via phone number 8655848588 and fax number 8655843364. The mailing address for Tidence Lane Prince is 611 Morganton Square Dr, Maryville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tidence Lane Prince |
|---|---|
| Address | 611 Morganton Square Dr, Maryville, Tennessee |
| Phone Number | 8655848588 |
| Fax Number | 8655843364 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215922356 |
|---|---|
| Provider Enumeration Date | 2005-09-14 |
| Last Updated Date | 2018-02-08 |
Provider Mailing Address Detail
| Address | 611 Morganton Square Dr |
|---|---|
| City | Maryville |
| State | Tennessee (TN) |
| Post Code | 378014763 |
| Phone Number | 8655848588 |
| Fax Number | 8655843364 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | 21247 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3068515 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tidence Lane Prince?
The Tidence Lane Prince has been issued the NPI (National Provider Identifier) 1215922356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Tidence Lane Prince?
The Tidence Lane Prince is situated at 611 Morganton Square Dr, in the city of Maryville, state of TN, with the zip code 378014763.
What is Tidence Lane Prince's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tidence Lane Prince is Allergy & Immunology, and the taxonomy classification code that categorizes this area of expertise is 207K00000X.
On what date did the Tidence Lane Prince receive its 1215922356 assignment from the Centers for Medicare & Medicaid Services?
The Tidence Lane Prince was assigned its 1215922356 by the Centers for Medicare & Medicaid Services on 2005-09-14.
When was the Tidence Lane Prince's information last updated?
The Tidence Lane Prince's information was last updated on 2018-02-08.
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