Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLIE ETHERTON, PAC
ActivePhysician Assistant · SEVIERVILLE, TN
Registration Details
- NPI Number
- 1700990025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (19.695324551231 yrs)
- Last Updated
- Apr 23, 2020
- License
-
PA0842 (TN)
Practice Information
- Address
-
1124 FOX MEADOWS BLVDSUITE 2SEVIERVILLE, TN, 378626927Browse TN providers · Browse ZIP 37862
- Phone
- 8654535530
- Fax
- 8654532671
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SEVIERVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| BRIAN DOUGLAS CLAYTON | PA-C | 1649233305 |
| DOUGLAS ESTEY | PAC | 1366405185 |
| MS. CYNTHIA M. HUTCHINS | P.A. | 1588606537 |
| MR. RONNIE D. OLIVER | P.A.-C. | 1578505525 |
| MRS. JILL SUZANNE WALL | P.A. | 1043252190 |
| INA J MATTHEWS | PA-C | 1083782833 |
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.