Individual
JOHN CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9125 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-4563
(865) 632-5900
(865) 374-2129
Mailing address
9125 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-4563
(865) 632-5900
(865) 374-2129
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001584
CT
363AM0700X
Medical Physician Assistant
Primary
3495
TN
363AS0400X
Surgical Physician Assistant
3495
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q047734
—
TN
Enumeration date
05/18/2006
Last updated
08/24/2020
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