Individual
HOLLY L. HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4400
(865) 558-4421
Mailing address
1422 OLD WEISGARBER RD, KNOXVILLE, TN 37909-1293
(865) 558-4400
(865) 558-4421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2230
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530801
—
TN
01
—
4339482
BLUECROSS BLUESHIELD
TN
Enumeration date
10/17/2012
Last updated
05/05/2015
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