Jerry Vance, PAC

NPI 1255371134 · on the registry since 2006

Practice

Address: 11201 West Point Dr
Suite 102 Farragut Family Practice
Knoxville, TN 37934
Phone: (865) 675-1953
Fax: (865) 675-0877
Organisation at this address: Max Potential Farragut, Llc
William A. Mallard, D.D.S., Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee