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Organization
TAHOE CARSON VALLEY MEDICAL GROUP INC
Active
Organization
TAHOE CARSON VALLEY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN E JONES MD (PRESIDENT)
(530) 543-5660
Entity
Organization
Contact information
Practice address
2209 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7037
(530) 543-5783
(530) 542-8780
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
207N00000X
Dermatology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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