IVY MASSENGALE, PA-C
Physician Assistant
Active
Individual
NPI: 1689223489
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Emergency Medicine | 207P00000X | No | 934 (TN) |
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1689223489 is the National Provider Identifier for IVY MASSENGALE, PA-C, a Physician Assistant provider located in La Follette, TN. This NPI was enumerated on September 5, 2019.
IVY MASSENGALE, PA-C practices at 923 E CENTRAL AVE, La Follette, TN 37766.
Quick Facts
- NPI
- 1689223489
- Type
- Individual
- Enumerated
- Sep 5, 2019
- Last Updated
- Dec 31, 2019
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