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Specialty details in registry · Johnson City, TN
At a glance
302 Sunset Dr Ste 107, Johnson City, TN 37604-2408
NPPES record updated Jan 30, 2017. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
302 Sunset Dr Ste 107Johnson City, TN 37604-2408
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 332B00000X
- Enumeration date
- Jan 30, 2017
- Record updated
- Jan 30, 2017
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
332B00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
302 Sunset Dr Ste 107Johnson City, TN 37604-2408
- Phone
- (423) 383-0967
- Fax
- (423) 610-1352
Mailing address
302 SUNSET DR STE 107JOHNSON CITY, TN 376042408
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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