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Individual

MRS. JULIA WEGRYN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1819 W CLINCH AVE, SUITE 108, KNOXVILLE, TN 37916-2434
(865) 546-5111
Mailing address
1819 W CLINCH AVE, SUITE 108, KNOXVILLE, TN 37916-2434
(865) 546-5111

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2860
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q020596
TN
Enumeration date
11/15/2015
Last updated
08/24/2020
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