Individual
MR. RYAN B PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
961 OAK RIDGE TPKE, OAK RIDGE, TN 37830-8832
(865) 483-4831
(866) 548-3380
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2294
TN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
01/04/2013
Last updated
10/13/2023
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