Individual
MADISON H NEVEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
241 S ILLINOIS AVE, OAK RIDGE, TN 37830
(865) 413-0185
Mailing address
241 SOUTH ILLINOIS AVENUE, OAK RIDGE, TN 37830
(865) 776-0741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3602
TN
363A00000X
Physician Assistant
PA56214
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1151612
NCCPA
—
Enumeration date
12/06/2018
Last updated
12/23/2024
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