Most Relevant Information
Provider Data
| NPI Number: | 1003465949 |
| Provider Name: | VICKIE LEE SELLS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/04/2019 |
| Last Updated: | 09/04/2019 |
Provider Practice Location
113 WARRIOR FALLS DR
KINGSPORT
TN
376645299
Practice Location Phone/Fax
| Phone: | 4232761381 |
| Fax: |
Provider Mailing Location
113 WARRIOR FALLS DR
KINGSPORT
TN
376645299
Provider Mailing Phone/Fax
| Phone: | 4232761381 |
| Fax: |