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Mikala Riddlesworth, PHYSICIAN ASSISTANT
NPI 1780718262 · on the registry since 2007
Practice
- Address
- 2151 Century Ln
Johnson City, TN 37604 - Phone
- (423) 926-2500
- Fax
- (423) 926-5999
- Organisation at this address
- East Tennessee State University
East Tennessee State UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 33
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
Medical Physician Assistant - Licence states on file
- TN, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-07-08
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