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Individual

DIANA M ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
10810 PARKSIDE DR, SUITE 109, KNOXVILLE, TN 37934-1979
(865) 218-7480
(865) 218-7488
Mailing address
10810 PARKSIDE DR, SUITE 109, KNOXVILLE, TN 37934-1979
(865) 218-7480
(865) 218-7488

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2727
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q014836
TN
Enumeration date
12/22/2008
Last updated
08/15/2016
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