Individual
SIMON BESSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
421 OLD RICEVILLE RD STE 2, ATHENS, TN 37303-3074
(423) 744-8755
(423) 744-8568
Mailing address
421 OLD RICEVILLE RD STE 2, ATHENS, TN 37303-3074
(423) 744-8755
(423) 744-8568
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3808
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1161064
NCCPA CERTIFICATION NUMBER
—
01
—
3808
LICENCE TO PRACTICE
TN
Enumeration date
02/22/2019
Last updated
02/22/2019
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