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Cory S Anderson, PA

Physician Assistant in Knoxville, TN. Individual provider (NPI-1).

NPI number1225833262
StatusActive
Last updated in NPPESOct 19, 2026

Details

NPI
1225833262
Entity type
Individual (NPI-1)
Name
Cory S Anderson
Credential
PA
Sex
Male
Sole proprietor
Yes
Enumeration date
Feb 14, 2025
Certification date
Oct 19, 2026
Last updated
Oct 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant6333TNYes
363AS0400X Physician Assistant, Surgical6333TN

Practice location

260 Fort Sanders West Blvd
Knoxville, TN 37922-3355

Phone 865-558-4400

Mailing address

556 Glen Abbey Blvd
Knoxville, TN 37934-3941

Phone 865-223-8052

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