Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GRANWEL GENIO ESTEBAN JR., PA
ActiveMR. GRANWEL GENIO ESTEBAN JR., PA is a Physician Assistant healthcare provider located in ATHENS, Tennessee. NPI 1336195973 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ATHENS, TN
Registration Details
- NPI Number
- 1336195973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2006 (20.212288789958 yrs)
- Last Updated
- Jul 28, 2021
- Licenses
-
02673-01 (NY)PA1004 (TN)
Practice Information
- Address
-
1114 W MADISON AVEATHENS, TN, 373034150Browse TN providers · Browse ZIP 37303
- Phone
- 4237451411
- Fax
- 8655398008
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ATHENS, TN
| Name | Credential | NPI |
|---|---|---|
| MR. MICHAEL T. BRUCE | PA | 1861432577 |
| MR. ROBERT KEVIN CHIN | PA-C | 1336367671 |
| MR. RYAN G. MCNABB | PA | 1184823064 |
| ALICIA DUMONT DURHAM | PA-C | 1629301312 |
| BRANDON WELLS WATSON | PA | 1194030809 |
| MR. BENJAMIN WILSON KENDRICK | PA-C | 1578907010 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.