Individual
PATRECIA ELISE EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2497 SOUTH ROANE ST, STE 240, HARRIMAN, TN 37748
(865) 590-0889
(865) 590-0884
Mailing address
150 LONG RD, KINGSTON, TN 37763
(865) 376-5807
(865) 590-0069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1137
TN
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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