SearchTennesseeMedical Physician Assistant

Charles Street, PA

NPI 1255981940 · on the registry since 2019 · sole proprietor

Practice

Address
170 W Tennessee Ave
Oak Ridge, TN 37830
Phone
(865) 482-1788
Fax
(865) 482-1789
Organisation at this address
Arches Foot Care Llc
Oak Ridge Medical Clinic, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Sex
Male
Record last updated
2019-09-16

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