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Individual

JUSTIN ROBERT CECIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
721 HIGHWAY 321 N STE C, LENOIR CITY, TN 37771-5003
(865) 986-3283
Mailing address
1225 E WEISGARBER RD, SUITE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
(865) 584-1363

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1552
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510405
TN
Enumeration date
11/09/2007
Last updated
11/29/2017
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