Individual
MR. CHRISTOPHER RYAN PIVONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4711 CENTERLINE DR STE 100, KNOXVILLE, TN 37917-1405
(865) 647-3260
(865) 647-3279
Mailing address
4711 CENTERLINE DR STE 100, KNOXVILLE, TN 37917-1405
(865) 647-3260
(865) 647-3279
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2336
TN
363A00000X
Physician Assistant
PA-82
GU
Other
Enumeration date
11/01/2011
Last updated
09/08/2020
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