Jordan Riley Cormack, PHYSICIAN ASSISTANT Valid NPI

Individual provider · Medical Physician Assistant · Knoxville, TN

NPI

1548890247

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

Sex

Male

Sole proprietor

No

Enumerated

2020-01-22

Last updated

2022-06-02