Individual
BONNIE JO DZIESINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2217 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5311
(865) 982-0835
(833) 908-2144
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
1895
TN
Other
Enumeration date
10/27/2010
Last updated
12/11/2021
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