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NPI Code Detail

MEDICARE: NANCY G PARTON PA C

MEDICARE:   NANCY G PARTON  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
1363A00000XPhysician AssistantPA0000000751TN

General Provider Information

NPI Number : 1679563894
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY G PARTON PA C
Provider Business Mailing Address
First Line : 1860 EXECUTIVE PARK PLACE NW
Second Line : STE B
City : CLEVELAND
State : TN
Zip : 37312
Country : US
Telephone Number : 423-476-7584
Fax Number : 423-476-7586
Provider Business Practice Location Address
First Line : 1860 EXECUTIVE PARK PLACE NW
Second Line : STE B
City : CLEVELAND
State : TN
Zip : 37312
Country : US
Telephone Number : 423-476-7584
Fax Number : 423-476-7586
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 02/05/2008

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