Individual
NOLAN MCCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
441 S ILLINOIS AVE, OAK RIDGE, TN 37830-7510
(865) 685-0767
Mailing address
4417 JERICHO VALLEY WAY, MARYVILLE, TN 37803-2788
(262) 758-4501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5087
TN
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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