institution
Prodigal Primary Care Pc
Medical Physician Assistant in Knoxville, Tennessee
NPI 1861704371

Prodigal Primary Care Pc is a Medical Physician Assistant based in Knoxville, TN and is specialized in Medical. Prodigal Primary Care Pc practices in Knoxville, TN. The NPI Number for Prodigal Primary Care Pc is 1861704371 and holds a License No. 1506 (Tennessee).

The current practice location address for Prodigal Primary Care Pc is 2911 Essary Road, Knoxville, TN and can be reached out via phone at 865-288-2754 and via fax at 865-243-2250. You can also correspond with Prodigal Primary Care Pc through the mailing address at 2911 ESSARY ROAD, KNOXVILLE, TN - 37918-2468 (mailing address contact number: 865-288-3754).

Location: 2911 Essary Road, Knoxville, TN, 37918-2468
institution
Provider Profile Details
NPI Number
1861704371
Provider Name
Prodigal Primary Care Pc
Credential
Provider Entity Type
Organization
Address
2911 Essary Road, Knoxville, TN, 37918-2468
Phone Number
865-288-2754
Fax Number
865-243-2250
Provider Enumeration Date
07/13/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1521979 05 TN
institution
Provider Business Practice Location Address Details
Address
2911 Essary Road
City
State
Zip
37918-2468
Phone Number
865-288-2754
Fax Number
865-243-2250
person
Provider Business Mailing Address Details
Address
2911 Essary Road
City
State
Zip
37918-2468
Phone Number
865-288-2754
Fax Number
865-243-2250
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1506 (Tennessee)
Definition
Definition to come...
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