Individual
DR. JOSE J MALAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3916
(865) 457-4702
(865) 457-7178
Mailing address
102 S CHARLES G SEIVERS BLVD, CLINTON, TN 37716-3916
(865) 457-4702
(865) 457-7178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000027104
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096631
—
TN
Enumeration date
11/29/2005
Last updated
06/29/2020
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