Provider Demographics
NPI:1154124915
Name:MIDKIFF, ANTHONY JAMES (PA-C)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JAMES
Last Name:MIDKIFF
Suffix:
Gender:
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 1:4098 FAWN MDW
Mailing Address - Street 2:
Mailing Address - City:PINEY FLATS
Mailing Address - State:TN
Mailing Address - Zip Code:37686-2928
Mailing Address - Country:US
Mailing Address - Phone:954-422-3046
Mailing Address - Fax:
Practice Address - Street 1:4098 FAWN MDW
Practice Address - Street 2:
Practice Address - City:PINEY FLATS
Practice Address - State:TN
Practice Address - Zip Code:37686-2928
Practice Address - Country:US
Practice Address - Phone:954-422-3046
Practice Address - Fax:954-422-3046
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program