Tamila Gale Mayberry P.A.-C.

NPI 1932125309 - Physician Assistant - 363A00000X

NPI Details
NPI 1932125309
Gender Female
Enumeration Date 07/15/2006
Last Updated 01/17/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1901 W CLINCH AVE
KNOXVILLE TN, 37916-2307, US
Phone (865) 541-1111
Fax
Business Location
PO BOX 15004
KNOXVILLE TN, 37901, US
Phone (865) 522-9730
Fax (865) 637-2520
Toxanomy
Taxonomy Code 363A00000X
License State Tennessee
License Number 1067
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According to our database, Tamila Gale Mayberry P.A.-C. NPI is 1932125309, taxonomy code is 363A00000X and license number is 1067, license state is located at Tennessee. Tamila Gale Mayberry P.A.-C. physically located at 1901 W Clinch Ave, Knoxville TN, 37916-2307. NPI Number Tamila Gale Mayberry P.A.-C. has the Individual type.

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1932125309 NPI number is provided on an as is basis without warranty of any kind. 1932125309 is maintained by the National Plan & Provider Enumeration System. The contents of Tamila Gale Mayberry P.A.-C. are for informational purposes only.