Prodigal Family Healthcare

NPI #1982021069 in Knoxville, Tennessee

Provider Information

NPI Number: 1982021069
Entity Type: Organization
Organization Name: Prodigal Family Healthcare
Primary Specialty: Physician Assistant
Enumeration Date: Mar 26, 2014
Last Updated: Mar 26, 2014

Practice Location

Address: 2911 ESSARY DR
City: Knoxville
State: Tennessee
ZIP Code: 37918-2468
Phone: (865) 288-3754

Authorized Official

Name: SYLVIA HOFSTETTER
Title: PRESIDENT
Phone: (865) 288-3754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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