| Doctor Name: | EVA CAROL PICKLER |
| NPI Number: | 1861461758 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | MD36124 |
| Business Practice Address: | 2 Professional Park Dr Suite 21 Johnson City, TN - 376046583 |
| Business Phone Number: | 4239268813 |
| Business Fax Number: | 4239268910 |
| Mailing Address: | 2 Professional Park Dr, Suite 21 JOHNSON CITY |
| State: | TN |
| Postal Code: | 376046583 |
| Phone Number: | 4239268813 |
| Fax Number: | 4239268910 |
| NPI Enumeration Date: | 03/14/2006 |
| NPI Last Update Date: | 08/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD36124 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |