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NPI Code Detail

MEDICARE: MRS. SHERRY L BILBO P.A.-C

MEDICARE: MRS. SHERRY L BILBO P.A.-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
1363A00000XPhysician AssistantPA0442TN

General Provider Information

NPI Number : 1275519266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHERRY L BILBO P.A.-C
Provider Business Mailing Address
First Line : 801 N WEISGARBER RD
Second Line : SUITE 100
City : KNOXVILLE
State : TN
Zip : 37909-2706
Country : US
Telephone Number : 865-588-5121
Fax Number :
Provider Business Practice Location Address
First Line : 801 N WEISGARBER RD
Second Line : SUITE 100
City : KNOXVILLE
State : TN
Zip : 37909-2706
Country : US
Telephone Number : 865-588-5121
Fax Number : 865-588-2126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 12/07/2025

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