Individual
AMY ELIZABETH POULIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1932 ALCOA HWY STE 360, KNOXVILLE, TN 37920
(865) 524-1869
(865) 544-6533
Mailing address
6109 CHENE CT, LUTZ, FL 33558-2849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
3534
TN
Other
Enumeration date
03/19/2018
Last updated
06/25/2018
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