Organization
PRODIGAL FAMILY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA HOFSTETTER (PRESIDENT)
(865) 288-3754
Entity
Organization
Contact information
Practice address
2911 ESSARY DR, KNOXVILLE, TN 37918-2468
(865) 288-3754
(865) 394-6719
Mailing address
2911 ESSARY DR, KNOXVILLE, TN 37918-2468
(865) 288-3754
(865) 394-6719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1506
TN
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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