Individual
MR. NICHOLAS FRANK BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2130 BRANNER AVE, JEFFERSON CITY, TN 37760
(865) 471-2049
Mailing address
1308 CHARLES DR, KNOXVILLE, TN 37918-2249
(917) 520-1044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/09/2014
Last updated
10/30/2019
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