Organization
RAY W. METTETAL JR., M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY WALLACE METTETAL JR. M.D. (PRESIDENT/OWNER)
(423) 341-7538
Entity
Organization
Contact information
Practice address
329 WESLEY ST STE 4, JOHNSON CITY, TN 37601-1721
(423) 282-5411
(423) 282-5951
Mailing address
303 E 11TH AVE, JOHNSON CITY, TN 37601-3932
(423) 282-5411
(423) 282-5951
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD 10753
TN
Other
Enumeration date
03/12/2009
Last updated
03/12/2009
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