Individual provider · Type 1 NPI

Mikala Riddlesworth, PHYSICIAN ASSISTANT

Physician Assistant · Johnson City, TN

NPI number 1780718262 Active

Practice location

2151 Century Ln
Johnson City, TN 37604-4469

Call (423) 926-2500 Map

Fax (423) 926-5999

Mailing address

365 Stout Drive Box 70403
Johnson City, TN 37614-1703

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1858 (TN)
Medical Physician Assistant 363AM0700X004986 (GA)
Medical Physician Assistant 363AM0700XNone listed

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 1780718262

Mikala Riddlesworth, PHYSICIAN ASSISTANT's National Provider Identifier is 1780718262, issued on Mar 15, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnson City, TN. The record was last updated on Jul 8, 2016.