IVY LEE MASSENGALE

LA FOLLETTE, TN
NPI1689223489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies207P00000X Emergency Medicine
(Licence: TN  934)
Enumeration Date2019-09-05
Last Update Date2019-12-31
Business Address
IVY LEE MASSENGALE PA-C
923 E CENTRAL AVE
LA FOLLETTE, TN 37766-2768
Phone number: 423-907-1200
Mailing Address
IVY LEE MASSENGALE PA-C
2305 CRYSTAL SPRING LN
HERMITAGE, TN 37076-4196
Phone number: 423-637-2504
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