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Individual

AIMEE TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
353 NEW SHACKLE ISLAND RD, SUITE 300C, HENDERSONVILLE, TN 37075-2379
(615) 824-0043
Mailing address
9320 PARK WEST BLVD, KNOXVILLE, TN 37923-4301
(865) 373-7100
(865) 373-7101

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2592
TN
363AS0400X
Surgical Physician Assistant
2592
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q014903
TN
Enumeration date
01/12/2015
Last updated
02/12/2024
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