Individual
VIVIAN MANDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 OAK RIDGE TPKE STE C100, OAK RIDGE, TN 37830-6927
(865) 483-2288
Mailing address
2733 SILICON VALLEY WAY, KNOXVILLE, TN 37931-4288
(347) 981-3905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TN
363AS0400X
Surgical Physician Assistant
—
TN
Other
Enumeration date
02/12/2024
Last updated
02/21/2024
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