Charlie Etherton, PAC
NPI #1700990025 in Sevierville, Tennessee
Provider Information
- NPI Number
- 1700990025
- Entity Type
- Individual
- Name
- Charlie Etherton, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Apr 23, 2020
Practice Location
- Address
- 1124 FOX MEADOWS BLVD
- Address 2
- SUITE 2
- City
- Sevierville
- State
- Tennessee
- ZIP Code
- 37862-6927
- Phone
- (865) 453-5530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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