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Molly Ann Waggoner, PA-C
Medical Physician Assistant in Knoxville, Tennessee
NPI 1225653967

Molly Ann Waggoner is a Medical Physician Assistant based in Clinton, TN and is specialized in Medical. Molly Ann Waggoner practices in Knoxville, TN and has the professional credentials of PA-C. The NPI Number for Molly Ann Waggoner is 1225653967 and holds a License No. 4115 (Tennessee).

The current practice location address for Molly Ann Waggoner is 9050 Executive Park Dr Ste 100B, Knoxville, TN and can be reached out via phone at 865-217-1297.

Location: 9050 Executive Park Dr Ste 100B, Knoxville, TN, 37716-6545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225653967
Provider Name
Molly Ann Waggoner
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9050 Executive Park Dr Ste 100B, Knoxville, TN, 37716-6545
Phone Number
865-217-1297
Fax Number
Provider Enumeration Date
06/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9050 Executive Park Dr Ste 100B
City
Knoxville
State
Tennessee
Zip
37923-4616
Phone Number
865-217-1297
Fax Number
person
Provider Business Mailing Address Details
Address
9050 Executive Park Dr Ste 100B
City
Knoxville
State
Tennessee
Zip
37923-4616
Phone Number
865-217-1297
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
4115 (Tennessee)
Definition
Definition to come...
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