George P Gonzales, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Knoxville, TN

NPI

1417988981

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

PA504 (TN)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-05

Last updated

2022-03-30