Provider Demographics
NPI:1932450301
Name:GUEL, MARTHA PAMELA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:PAMELA
Last Name:GUEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:PAMELA
Other - Last Name:CONNERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2681 HONEY HILL RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37924-1159
Mailing Address - Country:US
Mailing Address - Phone:128-019-9884
Mailing Address - Fax:
Practice Address - Street 1:2681 HONEY HILL RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37924-1159
Practice Address - Country:US
Practice Address - Phone:412-801-9988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA055621363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA258300NJYMedicare PIN
PA434907LCKMedicare PIN