Individual provider · Type 1 NPI

Molly Ann Waggoner, PA-C

Medical Physician Assistant · Knoxville, TN

NPI number 1225653967 Active

Practice location

9050 Executive Park Dr Ste 100B
Knoxville, TN 37923-4616

Call (865) 217-1297 Map

Mailing address

379 Mike Miller Ln
Clinton, TN 37716-6545

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X4115 (TN)

Medical Physician Assistant: Definition to come...

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About NPI 1225653967

Molly Ann Waggoner, PA-C's National Provider Identifier is 1225653967, issued on Jun 9, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Knoxville, TN. The record was last updated on Jun 9, 2020.