Provider Demographics
NPI:1003307422
Name:ASHER, DAKOTAH
Entity Type:Individual
Prefix:
First Name:DAKOTAH
Middle Name:
Last Name:ASHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 TILLMAN RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-2745
Mailing Address - Country:US
Mailing Address - Phone:423-437-1071
Mailing Address - Fax:
Practice Address - Street 1:4629 MILL BRANCH LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37938-3358
Practice Address - Country:US
Practice Address - Phone:865-201-1756
Practice Address - Fax:865-922-1659
Is Sole Proprietor?:No
Enumeration Date:2018-05-21
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3565363A00000X
TNPA0000003565207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant