Individual
ANDREW VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4233 HIGHWAY 411, MADISONVILLE, TN 37354-1571
(423) 884-1950
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
000000-850
TN
363A00000X
Physician Assistant
Primary
5388
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1204238
NCCPA
—
05
—
Q082011
—
TN
Enumeration date
02/16/2023
Last updated
04/01/2026
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