JUSTIN KENNETH FUGATE

KNOXVILLE, TN
NPI1205302353
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TN  3721)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: TN  3721)
Enumeration Date2018-10-16
Last Update Date2022-06-02
Business Address
JUSTIN KENNETH FUGATE PA-C
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920-3078
Phone number: 865-546-2663
Mailing Address
JUSTIN KENNETH FUGATE PA-C
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920-3078
Phone number: 865-546-2663