Individual
EMMA GRACE MASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1809 CAMPFIRE DR, KNOXVILLE, TN 37931-4346
(866) 309-7449
Mailing address
1809 CAMPFIRE DR, KNOXVILLE, TN 37931-4346
(224) 602-2252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1206649
OH
Other
Enumeration date
12/05/2022
Last updated
06/04/2023
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