Provider Demographics
NPI:1952128464
Name:TIGNOR, JAMES MATTHEW (PA-C)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:MATTHEW
Last Name:TIGNOR
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9041 HIGHBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-1440
Mailing Address - Country:US
Mailing Address - Phone:276-698-7001
Mailing Address - Fax:
Practice Address - Street 1:9041 HIGHBRIDGE DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-1440
Practice Address - Country:US
Practice Address - Phone:276-698-7001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant