Individual
ALBERT CARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
905 E CENTER AVE, LAFOLLETTE, TN 37766
(423) 907-1601
(423) 907-1647
Mailing address
905 EAST CENTER AVE, LAFOLLETTE, TN 37766
(423) 907-1601
(423) 907-1647
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA27
TN
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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