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Organization
MEDICAL SPECIALISTS OF JOHNSON CITY
Active
Organization
MEDICAL SPECIALISTS OF JOHNSON CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA CLEAR (DIRECTOR OF BUSINESS SERVICES)
(423) 794-2450
Entity
Organization
Contact information
Practice address
2528 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1766
(423) 794-2450
Mailing address
2528 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1766
(423) 794-2450
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
NULL
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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