TARA TILTON I, PA-C

Physician Assistant - Surgical

Active Individual
NPI: 1841437761

Practice Address

999 EXECUTIVE PARK BLVD
SUITE 102
Kingsport, TN 37660

Phone: (423) 578-1518

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No 1691 (TN)
Physician Assistant - Surgical 363AS0400X Yes 1691 (TN)

Frequently Asked Questions

NPI 1841437761 is the National Provider Identifier for TARA TILTON I, PA-C, a Physician Assistant - Surgical provider located in Kingsport, TN. This NPI was enumerated on January 14, 2009.
TARA TILTON I, PA-C practices at 999 EXECUTIVE PARK BLVD, SUITE 102, Kingsport, TN 37660.

Quick Facts

NPI
1841437761
Type
Individual
Enumerated
Jan 14, 2009
Last Updated
Mar 5, 2010

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