Individual
DANIELLE WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6408 PAPERMILL DR, KNOXVILLE, TN 37919-4858
(865) 588-8229
(865) 212-0163
Mailing address
PO BOX 52948, KNOXVILLE, TN 37950-2948
(865) 306-5700
(865) 584-7760
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4591
TN
363AS0400X
Surgical Physician Assistant
4591
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q068951
—
TN
Enumeration date
01/31/2019
Last updated
12/10/2021
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