Tidence Lane Prince (NPI# 1215922356, PAC ID# 3375585276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1215922356 |
| PAC ID by PECOS | 3375585276 |
| Professional Enrollment ID | I20050601000274 |
| Full Name | Tidence Lane Prince |
| Organization Legal Name | ALLERGY ASSOCIATES, PA |
| Address |
611 Morganton Square Dr Knoxville TN 37801-4763 |
| Phone Number | 8659830847 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 1355246398 |
| Number of Group Practice Members | 63 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440011 | BLOUNT MEMORIAL HOSPITAL |
| 440068 | STARR REGIONAL MEDICAL CENTER ATHENS |
| 440110 | FORT LOUDOUN MEDICAL CENTER |
| 440173 | PARKWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 611 Morganton Square Dr, Knoxville, TN 37801-4763 | 8659830847 | ALLERGY ASSOCIATES, PA |
| 3951 Ridge Ave C, Macon, GA 31210-5064 | 4782548305 | ALLERGY ASSOCIATES, PA |
| Organization Legal Name | ALLERGY ASSOCIATES, PA |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Johnson | Nurse Practitioner | Allergy Associates, Pa | 2070 Willow Loop Way, Knoxville, TN 37922-2015 |
| Turkessa Jenarda Walker | Allergy/immunology | Allergy Associates, Pa | 3951 Ridge Ave C, Macon, GA 31210-5064 |
| Sarah Nicole Adams | Allergy/immunology | Allergy Associates, Pa | 165 Indian Lake Blvd, Suite 109, Hendersonville, TN 37075-6216 |
| Madeline Kaye Lamb | Nurse Practitioner | Allergy Associates, Pa | 611 Morganton Square Dr, Knoxville, TN 37801-4763 |
| Juliet A Gladson | Nurse Practitioner | Allergy Associates, Pa | 200 New York Ave, Suite 130, Oak Ridge, TN 37830-5225 |
| Erin B Kelly | Nurse Practitioner | Allergy Associates, Pa | 400 Sugartree Ln, Suite 100, Franklin, TN 37064-3072 |
| Camille S Lundi | Nurse Practitioner | Allergy Associates, Pa | 403 Margie Dr, Warner Robins, GA 31088 |
| Ashley Danielle Hinds | Nurse Practitioner | Allergy Associates, Pa | 801 Weisgarber Rd, Knoxville, TN 37909-2706 |
| Jeremiah N Bivins | Allergy/immunology | Allergy Associates, Pa | 1320 Old Weisgarber Rd, Knoxville, TN 37909-1291 |
| Angela G Singley | Nurse Practitioner | Allergy Associates, Pa | 1317 Cumberland Falls Hwy A, Corbin, KY 40701-2720 |
| Street Address |
611 MORGANTON SQUARE DR |
| City | KNOXVILLE |
| State | TN |
| Zip | 37801-4763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madeline Kaye Lamb | Nurse Practitioner | Allergy Associates, Pa | 611 Morganton Square Dr, Knoxville, TN 37801-4763 |
| Karen Roden | Nurse Practitioner | Allergy Associates, Pa | 611 Morganton Square Dr, Knoxville, TN 37801-4763 |
| Kristin Lynn Mix | Nurse Practitioner | Allergy Associates, Pa | 611 Morganton Square Dr, Knoxville, TN 37801-4763 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Anderson | Chiropractic | 2732 Hwy 411 S, Marysville, TN 37801 | |
| Karin R Moore | Optometry | 2410 Us Hwy 411 S, Maryville, TN 37801 | |
| William Tantum | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Lloyd Tantum | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Cassandra Marie Bruno | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Susan Carter | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Chantel Lashaun Galipeau | Optometry | Blount County Eye Center, Pllc | 702 S Foothills Plaza Dr, Maryville, TN 37801-2300 |
| Heath D Svoboda | Nurse Practitioner | The Little Clinic of Tennessee LLC | 507 N Foothills Plaza, Maryville, TN 37801-2312 |
| Julie S Newman | Nurse Practitioner | The Little Clinic of Tennessee LLC | 507 N Foothills Plaza, Maryville, TN 37801-2312 |
| Christina N Brown | Nurse Practitioner | 2732 Us Hwy 411 S, Maryville, TN 37801-3104 | |
| Find all physicians in zip 37801 | |||
| City | KNOXVILLE |
| Zip Code | 37801 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | KNOXVILLE + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Tidence Lane Prince.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.