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Individual

MEGAN WHITNEY NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
11416 GRIGSBY CHAPEL RD STE 104, KNOXVILLE, TN 37934
(865) 218-2100
Mailing address
PO BOX 2070, CLEVELAND, TN 37320-2070
(423) 476-5774
(423) 472-0493

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2507
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q008798
TN
Enumeration date
05/12/2014
Last updated
12/10/2019
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