Individual
JOSHUA J VANACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSA, CSA
Contact information
Practice address
9352 PARK WEST BLVD, KNOXVILLE, TN 37923
(214) 227-2457
(214) 764-0880
Mailing address
738 CONCORD FARMS LN, KNOXVILLE, TN 37934-7042
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4207
TN
Other
Enumeration date
09/19/2019
Last updated
09/25/2019
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