Provider Demographics
NPI:1285973362
Name:GUTHRIE, OLIVIA M (PA)
Entity type:Individual
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First Name:OLIVIA
Middle Name:M
Last Name:GUTHRIE
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Gender:F
Credentials:PA
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Mailing Address - Street 1:9129 CROSS PARK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4505
Mailing Address - Country:US
Mailing Address - Phone:865-694-7725
Mailing Address - Fax:865-483-4194
Practice Address - Street 1:9430 PARK WEST BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4200
Practice Address - Country:US
Practice Address - Phone:865-694-8353
Practice Address - Fax:865-693-0338
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2019-06-21
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Provider Licenses
StateLicense IDTaxonomies
TN2288363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical