Individual
ANGELA BROOKE BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 HOSPITAL DR, JEFFERSON CITY, TN 37760-5287
(865) 475-4742
Mailing address
475 BUTLER MILL RD, MARYVILLE, TN 37803-3320
(502) 319-5333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3823
TN
Other
Enumeration date
02/22/2019
Last updated
02/22/2019
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