Individual
MISS SARAH BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 N WINSTON RD STE 501, KNOXVILLE, TN 37919-3605
(865) 090-0090
Mailing address
1900 N WINSTON RD STE 501, KNOXVILLE, TN 37919-3605
(423) 909-0090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4733
TN
Other
Enumeration date
09/01/2021
Last updated
06/27/2022
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