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Deana Wilds

NPI 1134940091 · on the registry since 2024 · sole proprietor

Practice

Address
235 Lafollette Cir
Pigeon Forge, TN 37863
Phone
(865) 659-8803
Organisation at this address
Tennessee Mobile Laboratory Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Also registered as
291U00000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee