Individual
MACI NICOLE O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1926 ALCOA HWY BLDG F, STE 380, KNOXVILLE, TN 37920-1524
(865) 544-9171
(865) 305-6886
Mailing address
1926 ALCOA HWY BLDG F, STE 380, KNOXVILLE, TN 37920-1524
(865) 544-9171
(865) 305-6886
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2047
TN
Other
Enumeration date
10/24/2011
Last updated
09/10/2013
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