Healthcare Provider Details

I. General information

NPI: 1730702325
Provider Name (Legal Business Name): ERIN MORELOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2020
Last Update Date: 05/19/2020
Certification Date: 05/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8811 SAMUEL ANDREW LN
KNOXVILLE TN
37922-6708
US

IV. Provider business mailing address

2347 JONES BEND RD
LOUISVILLE TN
37777-5213
US

V. Phone/Fax

Practice location:
  • Phone: 865-373-8206
  • Fax:
Mailing address:
  • Phone: 865-373-8206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number36872
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: