Healthcare Provider Details

I. General information

NPI: 1538014584
Provider Name (Legal Business Name): POONAM PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2841 SAINT CHARLES PL
PIGEON FORGE TN
37863-5214
US

IV. Provider business mailing address

2841 SAINT CHARLES PL
PIGEON FORGE TN
37863-5214
US

V. Phone/Fax

Practice location:
  • Phone: 865-206-6791
  • Fax:
Mailing address:
  • Phone: 865-206-6791
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: