Individual
ALLIX REEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9430 PARK WEST BLVD STE 310, KNOXVILLE, TN 37923-4203
(865) 690-5263
(865) 588-3740
Mailing address
P.O. BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5708
(865) 584-7712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3146
TN
363AS0400X
Surgical Physician Assistant
3146
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I973966
MEDICARE
TN
05
—
Q026756
—
TN
Enumeration date
11/11/2016
Last updated
07/14/2020
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