Individual
LYDIA SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5326 WESTERN AVE, KNOXVILLE, TN 37921-3203
(865) 500-6526
Mailing address
986 S OLD SEVIERVILLE PIKE, SEYMOUR, TN 37865-4148
(865) 438-4118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6093
TN
Other
Enumeration date
01/24/2024
Last updated
09/19/2024
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