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Contact Information

PAULA R MIKSA, PA-C
598 JOHN DEERE DRIVE
MAYNARDVILLE, TN37807
 Phone: 865-992-6060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAULA R MIKSA · (Female)

NPI Number 1548209463
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/06/2006
Last updated 10/30/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 003964
  • NC License # 0010-05096
  • SC License # PA2079
  • TN License # 1271
  • AL Medicaid 009936047
  • GA Medicaid 617410018A
  • TN Medicaid 150877
  • GA Other 229393905 CHAMPUS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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