Individual
RYAN CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
576 FORT LOUDOUN MEDICAL CENTER DR STE 100, LENOIR CITY, TN 37772-5676
(865) 988-8667
(865) 988-8837
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q003651
—
TN
Enumeration date
11/25/2013
Last updated
10/12/2023
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