Individual
SEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7545 BARNETT WAY, POWELL, TN 37849-3565
(865) 824-1524
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3769
TN
363AM0700X
Medical Physician Assistant
3769
TN
Other
Enumeration date
01/04/2019
Last updated
01/03/2025
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