Individual
CHELSEA HERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5000
Mailing address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
12/04/2022
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