Charlie Etherton in Knoxville - Physician Assistant
Charlie Etherton - NPI 1700990025
Charlie Etherton is a Physician Assistant in Knoxville, Tennessee. Charlie Etherton practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Charlie Etherton is 1700990025. The last update date is 2020-04-23.
Charlie Etherton's current location address is 1275 Dick Lonas Rd, Knoxville, Tennessee. You can contact this provider via phone number 8655844747. The mailing address for Charlie Etherton is 1275 Dick Lonas Rd, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charlie Etherton |
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Address | 1275 Dick Lonas Rd, Knoxville, Tennessee |
Phone Number | 8655844747 |
Fax Number | |
Sole Proprietor | N |
Credentials | PAC |
NPI Number Detail
NPI Number | 1700990025 |
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Provider Enumeration Date | 2006-08-17 |
Last Updated Date | 2020-04-23 |
Provider Mailing Address Detail
Address | 1275 Dick Lonas Rd |
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City | Knoxville |
State | Tennessee (TN) |
Post Code | 379091382 |
Phone Number | 8655844747 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA0842 |
Definition: 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 perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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P00339849 | TN | RR MEDICARE PIN |
Post Comment/ Review Below
Could you provide the complete physical address where Charlie Etherton is located?
The Charlie Etherton is situated at the following address: 1275 Dick Lonas Rd, Knoxville, TN, 379091382.
What is Charlie Etherton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charlie Etherton's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
What is Charlie Etherton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Charlie Etherton is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700990025 to Charlie Etherton?
The Centers for Medicare & Medicaid Services assigned the 1700990025 to Charlie Etherton on 2006-08-17.
As of what date was the information regarding Charlie Etherton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charlie Etherton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-23.