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1720092307
TIMOTHY R. BLACK
KNOXVILLE, TN
NPI
1720092307
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN PA772)
Enumeration Date
2006-07-28
Last Update Date
2023-07-25
Business Address
Mr. TIMOTHY R. BLACK PA-C
10800 PARKSIDE DR STE 330
KNOXVILLE, TN 37934-1926
Phone number: 865-218-7480
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Mailing Address
Mr. TIMOTHY R. BLACK PA-C
10800 PARKSIDE DR STE 330
KNOXVILLE, TN 37934-1926
Phone number: 865-218-7480
Copy
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