Individual
SARAH HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1924 PINNACLE POINTE WAY STE 100, KNOXVILLE, TN 37922-3700
(865) 584-5762
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2626
TN
363A00000X
Physician Assistant
2988
SC
363AS0400X
Surgical Physician Assistant
2626
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3672PA
—
SC
Enumeration date
10/29/2014
Last updated
07/27/2021
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