Individual
CYNTHIA J HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1932 ALCOA HWY, SUITE 255, KNOXVILLE, TN 37920-1527
(865) 524-1869
(865) 544-6533
Mailing address
1932 ALCOA HWY, SUITE 255, KNOXVILLE, TN 37920-1527
(865) 524-1869
(865) 544-6533
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA03140
TX
363AS0400X
Surgical Physician Assistant
Primary
PA1528
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505488
—
TN
01
—
8N3690
BCBS
TX
01
—
CC0589
MEDICARE RAILROAD
TN
01
—
P00077348
RAILROAD MEDICARE
TX
Enumeration date
06/14/2006
Last updated
11/26/2008
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