Individual provider · Type 1 NPI
Andrea Lynne Grooms, PA-C
Medical Physician Assistant · Smyrna, TN
NPI number
1023084019
Active
Practice location
570 W. Sam Ridley Prkwy, Suite 102
Smyrna, TN 37167
Fax (614) 984-2945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | C5-0000860 (DE) |
| Physician Assistant | 363A00000X | MA051040 (PA) |
| Physician Assistant | 363A00000X | 5109 (TN) |
| Medical Physician Assistant | 363AM0700X | MA051040 (PA) |
| Medical Physician Assistant | 363AM0700X | OA003670 (PA) |
| Medical Physician Assistant Primary | 363AM0700X | 5109 (TN) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Smyrna
About NPI 1023084019
Andrea Lynne Grooms, PA-C's National Provider Identifier is 1023084019, issued on Feb 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Smyrna, TN. The record was last updated on Aug 1, 2023.