Individual provider · Type 1 NPI

Charlie Etherton, PAC

Physician Assistant · Sevierville, TN

NPI number 1700990025 Active

Practice location

1124 Fox Meadows Blvd, Suite 2
Sevierville, TN 37862-6927

Call (865) 453-5530 Map

Fax (865) 453-2671

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA0842 (TN)

Physician Assistant: 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, orde…

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About NPI 1700990025

Charlie Etherton, PAC's National Provider Identifier is 1700990025, issued on Aug 17, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sevierville, TN. The record was last updated on Apr 23, 2020.