Individual
CAROLYN PROVIDENCE UPCHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7210 OAK RIDGE HWY, KNOXVILLE, TN 37931-2613
(865) 647-5500
(865) 769-5194
Mailing address
7210 OAK RIDGE HWY, KNOXVILLE, TN 37931-2613
(865) 647-5500
(865) 769-5194
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA6415
TN
Other
Enumeration date
05/26/2022
Last updated
06/13/2025
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