NICHOLAS PETER FEDOR

KNOXVILLE, TN
NPI1699103804
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence:   2427)
Enumeration Date2013-10-24
Last Update Date2013-10-24
Business Address
-- NICHOLAS PETER FEDOR PA-C
10820 PARKSIDE DR EMERGENCY DEPT.
KNOXVILLE, TN 37934-1956
Phone number: 865-988-3666
Mailing Address
-- NICHOLAS PETER FEDOR PA-C
PO BOX 1008
LENOIR CITY, TN 37771-1008
Phone number: 865-988-3666
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