Individual
CHRISTINA BOUCHILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1712 WOODPOINTE DR, KNOXVILLE, TN 37931-4923
(423) 502-0258
Mailing address
1712 WOODPOINTE DR, KNOXVILLE, TN 37931-4923
(423) 502-0258
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6116
TN
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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