Individual
MR. JACOB ANTHONY RITTINGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
641 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5014
(865) 428-0583
(833) 908-2174
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5366
TN
Other
Enumeration date
02/02/2023
Last updated
03/17/2023
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