Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 9432 | TN |
NPI | 1013148964 |
---|---|
Provider Name | Dr. Aleighia Barker Helderman |
First Address | Morristown, TN 37814-4550 |
Second Address | Morristown, TN 37814-4550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2009 |
Last Update Date | 23/05/2013 |