Provider Demographics
NPI:1386979573
Name:LAYTON, REBECCA SAMS (PA-C)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:SAMS
Last Name:LAYTON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:LEIGH
Other - Last Name:SAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:990 OAK RIDGE TURNPIKE
Mailing Address - Street 2:METHODIST MEDICAL CENTER
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830
Mailing Address - Country:US
Mailing Address - Phone:865-835-4300
Mailing Address - Fax:
Practice Address - Street 1:990 OAK RIDGE TURNPIKE
Practice Address - Street 2:METHODIST MEDICAL CENTER
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830
Practice Address - Country:US
Practice Address - Phone:865-835-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1741363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant