Individual
MRS. RONDA K PYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1200
(865) 291-3228
Mailing address
PO BOX 787, JACKSBORO, TN 37757-0787
(423) 449-9079
(865) 281-1625
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
588
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4110213
BCBS
TN
Enumeration date
06/05/2006
Last updated
10/02/2019
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