Organization
JOHN LAWSON SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH CUTSHALL M.D (SURGEON)
(423) 975-5650
Entity
Organization
Contact information
Practice address
3 PROFESSIONAL PARK DR, SUITE 31, JOHNSON CITY, TN 37604-6529
(423) 975-5650
Mailing address
3 PROFESSIONAL PARK DR, SUITE 31, JOHNSON CITY, TN 37604-6529
(423) 975-5650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21566
TN
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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