Individual
PAUL C. MABEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
123 FOX RD, KNOXVILLE, TN 37922-3369
(865) 690-9467
(865) 637-5057
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000001343
TN
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1524465
—
TN
01
—
TN0105
JOHN DEERE HEALTH
TN
01
—
TN1343
TN STATE LICENSE
TN
Enumeration date
07/30/2006
Last updated
04/02/2026
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