Individual
TIMOTHY THOMASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
190 COMMUNITY CENTER DR., SUITE 103, PIGEON FORGE, TN 37863-6251
(865) 446-4032
(865) 868-4746
Mailing address
190 COMMUNITY CENTER DR., SUITE 103, PIGEON FORGE, TN 37863-6251
(865) 446-4032
(865) 868-4746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
TN
363AM0700X
Medical Physician Assistant
4883909
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515398
—
TN
Enumeration date
12/14/2006
Last updated
11/05/2015
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