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Individual

MR. RONNIE D. OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C.

Contact information

Practice address
435 PARKWAY, SEVIERVILLE, TN 37862
(865) 908-0400
(865) 453-7009
Mailing address
435 PARKWAY, SEVIERVILLE, TN 37862
(865) 908-0400
(865) 453-7009

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000743
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3669453
TN
01
4092989
BLUE CROSS
TN
01
P00237276
RRGA
TN
Enumeration date
06/12/2006
Last updated
07/11/2008
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