Individual
RICHARD ERVIN BIRMINGHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
304 BAGWELL RD, KNOXVILLE, TN 37924-2813
(901) 674-1783
Mailing address
86065 SINATRA ST, YULEE, FL 32097-3908
(901) 674-1783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3860
TN
363A00000X
Physician Assistant
9366
GA
363A00000X
Physician Assistant
Primary
PA9113895
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/08/2019
Last updated
09/18/2022
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