Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RUSSELL ERIC DICKENSON, PA-C
ActivePhysician Assistant · KNOXVILLE, TN
Registration Details
- NPI Number
- 1497745814
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2005 (20.489678248631 yrs)
- Last Updated
- Sep 14, 2020
- License
-
100 (TN)
Practice Information
- Address
-
10800 PARKSIDE DR STE 331KNOXVILLE, TN, 379341922Browse TN providers · Browse ZIP 37934
- Phone
- 8653923400
- Fax
- 8653923449
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in KNOXVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MICHAEL J NOWAK | PA | 1811991359 |
| THEODORE W MCCRARY | PAC | 1356334973 |
| MRS. MICHELLE P MCKNIGHT | PA | 1699762203 |
| MR. TIMOTHY HUDNALL | PA-C | 1376530451 |
| RICHARD CAPO | PA-C | 1730178880 |
| MS. KERI FISHER | PA-C | 1508856931 |
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.