Organization
RANDALL J FALCONER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY L FALCONER (ADMINISTRATOR)
(423) 230-6352
Entity
Organization
Contact information
Practice address
1728 N EASTMAN ROAD, KINGSPORT, TN 37664
(423) 230-6352
(423) 230-4859
Mailing address
1728 N EASTMAN ROAD, KINGSPORT, TN 37664
(423) 230-6352
(423) 230-4859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000018839
TN
Other
Enumeration date
08/03/2006
Last updated
08/22/2020
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