Individual
NATALIE CAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
418 S GAY ST, PHOENIX BLDG., KNOXVILLE, TN 37902-1134
(123) 456-7890
Mailing address
418 S GAY ST STE 103, PHOENIX BLDG., KNOXVILLE, TN 37902-1127
(865) 525-4520
(865) 525-4920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
TN
363AM0700X
Medical Physician Assistant
Primary
2655
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q009118
—
TN
Enumeration date
10/15/2014
Last updated
05/26/2016
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