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Individual

JOHN A NOLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
5000 ALPHA LN, HIXSON, TN 37343-4054
(423) 870-1662
(423) 877-4845
Mailing address
599 BLACK MOUNTAIN RD W, DUNLAP, TN 37327-6731
(423) 949-8492

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000000612
TN

Other

Enumeration date
08/31/2006
Last updated
02/25/2013
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