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Individual

BREANNA CASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909
(865) 584-4747
Mailing address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3465
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3465
STATE OF TN
TN
Enumeration date
04/30/2018
Last updated
11/14/2018
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