Individual
MR. BRADLEY-JAMES RYAN FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1924 PINNACLE POINTE WAY STE 100, KNOXVILLE, TN 37922-3700
(865) 584-5762
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3891
TN
Other
Enumeration date
05/28/2019
Last updated
08/13/2019
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