MEDICARE: NATALIE CAYLOR PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	2655	TN
2	363A00000X	Physician Assistant		TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659775906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE CAYLOR PA-C

Provider Business Mailing Address
First Line	:	418 S GAY ST STE 103
Second Line	:	PHOENIX BLDG.
City	:	KNOXVILLE
State	:	TN
Zip	:	37902-1127
Country	:	US
Telephone Number	:	865-525-4520
Fax Number	:	865-525-4920

Provider Business Practice Location Address
First Line	:	418 S GAY ST
Second Line	:	PHOENIX BLDG.
City	:	KNOXVILLE
State	:	TN
Zip	:	37902-1134
Country	:	US
Telephone Number	:	123-456-7890
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2014
Last Update Date	:	05/26/2016

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Directions to “ NATALIE CAYLOR PA-C” Practice Location

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