Search › Tennessee › 374U00000X
Mia Scullark
NPI 1598204729 · on the registry since 2017 · sole proprietor
Practice
- Address
- 8809 Forest Breeze Dr
Cordova, TN 38018 - Phone
- (901) 691-6274
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-21
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