Individual
TIMOTHY EDWARD VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1450 DOWELL SPRINGS BLVD STE 210, KNOXVILLE, TN 37909-2448
(865) 524-2547
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2980
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q020185
—
TN
Enumeration date
02/12/2016
Last updated
03/27/2026
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