person
Mr. Isaac Nathan O'dell, PA
Surgical Physician Assistant in Johnson City, Tennessee
NPI 1821035908

Isaac Nathan O'dell is a Surgical Physician Assistant based in Paducah, TN and is specialized in Surgical. Isaac Nathan O'dell practices in Johnson City, TN and has the professional credentials of PA. The NPI Number for Isaac Nathan O'dell is 1821035908 and holds a License No. PA0000001330 (Tennessee).

The current practice location address for Isaac Nathan O'dell is 701 Med Tech Pkwy, Johnson City, TN and can be reached out via phone at 423-232-8301 and via fax at 423-232-8304. You can also correspond with Isaac Nathan O'dell through the mailing address at PO BOX 9150, PADUCAH, KY - 42002-9150 (mailing address contact number: 270-744-9600).

Location: 701 Med Tech Pkwy, Johnson City, TN, 42002-9150
person
Provider Profile Details
NPI Number
1821035908
Provider Name
Isaac Nathan O'dell
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
701 Med Tech Pkwy, Johnson City, TN, 42002-9150
Phone Number
423-232-8301
Fax Number
423-232-8304
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4126669 01 TN BCBS
1514552 05 TN
institution
Provider Business Practice Location Address Details
Address
701 Med Tech Pkwy
City
State
Zip
37604-2365
Phone Number
423-232-8301
Fax Number
423-232-8304
person
Provider Business Mailing Address Details
Address
701 Med Tech Pkwy
City
State
Zip
37604-2365
Phone Number
423-232-8301
Fax Number
423-232-8304
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA0000001330 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA0000001330 (Tennessee)
Definition
Definition to come...
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