CHARLIE ETHERTON, PAC

Physician Assistant

Active Individual
NPI: 1700990025

Practice Address

1124 FOX MEADOWS BLVD
SUITE 2
Sevierville, TN 37862

Phone: (865) 453-5530

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA0842 (TN)

Frequently Asked Questions

NPI 1700990025 is the National Provider Identifier for CHARLIE ETHERTON, PAC, a Physician Assistant provider located in Sevierville, TN. This NPI was enumerated on August 17, 2006.
CHARLIE ETHERTON, PAC practices at 1124 FOX MEADOWS BLVD, SUITE 2, Sevierville, TN 37862.

Quick Facts

NPI
1700990025
Type
Individual
Enumerated
Aug 17, 2006
Last Updated
Apr 23, 2020

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