Individual
ILIENIS PEREZ-RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
122 KENT PLACE, ALCOA, TN 37701
(865) 637-8812
(865) 342-4678
Mailing address
1450 DOWELL SPRINGS BLVD, SUITE 300, KNOXVILLE, TN 37909
(865) 637-8812
(865) 637-8865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4101
TN
363A00000X
Physician Assistant
9112956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q057212
—
TN
Enumeration date
03/05/2020
Last updated
06/18/2025
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