Organization · Type 2 NPI
Prodigal Primary Care PC
Medical Physician Assistant · Knoxville, TN
NPI number
1861704371
Active
Practice location
2911 Essary Road
Knoxville, TN 37918-2468
Fax (865) 243-2250
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1506 (TN) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Knoxville
About NPI 1861704371
Prodigal Primary Care PC's National Provider Identifier is 1861704371, issued on Jul 13, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Knoxville, TN. The record was last updated on Aug 21, 2013.