Individual
RYAN ESTON WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
266 JOULE ST, ALCOA, TN 37701-2422
(865) 984-3864
(865) 380-4095
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4393
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q074975
—
TN
Enumeration date
12/28/2020
Last updated
11/03/2025
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