Individual
MADISON O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
961 OAK RIDGE TPKE, OAK RIDGE, TN 37830-8832
(865) 690-4861
(865) 483-3807
Mailing address
PO BOX 306556, NASHVILLE, TN 37230-6556
(865) 694-0062
(865) 694-7907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5409
TN
Other
Enumeration date
03/02/2023
Last updated
10/13/2023
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