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Tara M Tilton I, PA-C
Surgical Physician Assistant in Kingsport, Tennessee
NPI 1841437761

Tara M Tilton I is a Surgical Physician Assistant based in Kingsport, TN and is specialized in Surgical. Tara M Tilton I practices in Kingsport, TN and has the professional credentials of PA-C. The NPI Number for Tara M Tilton I is 1841437761 and holds a License No. 1691 (Tennessee).

The current practice location address for Tara M Tilton I is 999 Executive Park Blvd, Kingsport, TN and can be reached out via phone at 423-578-1518 and via fax at 423-230-6349.

Location: 999 Executive Park Blvd, Kingsport, TN, 37660-4632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841437761
Provider Name
Tara M Tilton I
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
999 Executive Park Blvd, Kingsport, TN, 37660-4632
Phone Number
423-578-1518
Fax Number
423-230-6349
Provider Enumeration Date
01/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3665354 01 TN MEDICARE ID
1512613 05 TN
institution
Provider Business Practice Location Address Details
Address
999 Executive Park Blvd
City
Kingsport
State
Tennessee
Zip
37660-4632
Phone Number
423-578-1518
Fax Number
423-230-6349
person
Provider Business Mailing Address Details
Address
999 Executive Park Blvd
City
Kingsport
State
Tennessee
Zip
37660-4632
Phone Number
423-578-1518
Fax Number
423-230-6349
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1691 (Tennessee)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
1691 (Tennessee)
Definition
Definition to come...
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