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Mr. Jordan Riley Cormack, PHYSICIANASSISTANT
Medical Physician Assistant in Knoxville, Tennessee
NPI 1548890247

Jordan Riley Cormack is a Medical Physician Assistant based in Knoxville, TN and is specialized in Medical. Jordan Riley Cormack practices in Knoxville, TN and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Jordan Riley Cormack is 1548890247 and holds a License No. (Tennessee).

The current practice location address for Jordan Riley Cormack is 1901 Clinch Ave, Knoxville, TN and can be reached out via phone at 865-541-1111.

Location: 1901 Clinch Ave, Knoxville, TN, 37922-1439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548890247
Provider Name
Jordan Riley Cormack
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
1901 Clinch Ave, Knoxville, TN, 37922-1439
Phone Number
865-541-1111
Fax Number
Provider Enumeration Date
01/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q056756 05 TN
institution
Provider Business Practice Location Address Details
Address
1901 Clinch Ave
City
Knoxville
State
Tennessee
Zip
37916-2307
Phone Number
865-541-1111
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Clinch Ave
City
Knoxville
State
Tennessee
Zip
37916-2307
Phone Number
865-541-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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