Individual provider · Type 1 NPI

Michael Lee Oldham

Student in an Organized Health Care Education/Training Program · Maryville, TN

NPI number 1699693572 Active

Practice location

1704 E Broadway Ave
Maryville, TN 37804-2916

Call (865) 681-6990 Map

Mailing address

201 W Springdale Ave
Knoxville, TN 37917-5158

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699693572

Michael Lee Oldham's National Provider Identifier is 1699693572, issued on Jul 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Maryville, TN. The record was last updated on Jul 8, 2026.