Individual
PHILIP ALEXANDER GAUSLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
10215 KINGSTON PIKE STE 100, KNOXVILLE, TN 37922-3492
(865) 691-0733
(833) 908-2087
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(865) 381-1509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4480
TN
363A00000X
Physician Assistant
PA13787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13787
LICENSE
CA
Enumeration date
07/13/2006
Last updated
06/06/2022
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