Individual provider · Type 1 NPI

Timothy R. Black, PA-C

Physician Assistant · Knoxville, TN

NPI number 1720092307 Active

Practice location

10800 Parkside Dr Ste 330
Knoxville, TN 37934-1926

Fax (865) 218-7488

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA772 (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 1720092307

Timothy R. Black, PA-C's National Provider Identifier is 1720092307, issued on Jul 28, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Knoxville, TN. The record was last updated on Jul 25, 2023.