Individual
THEODORE W MCCRARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
301 S GALLAHER VIEW RD STE 224, KNOXVILLE, TN 37919-5361
(865) 951-2012
(865) 951-2575
Mailing address
301 S GALLAHER VIEW RD STE 224, KNOXVILLE, TN 37919-5361
(865) 951-2012
(865) 951-2575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
560
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3666869
—
TN
Enumeration date
08/30/2005
Last updated
01/08/2013
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