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Organization

MEDICAL SPECIALISTS OF JOHNSON CITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA CLEAR (DIRECTOR OF BUSINESS SERVICES)
(423) 794-2450
Entity
Organization

Contact information

Practice address
2528 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1766
(423) 794-2450
Mailing address
2528 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1766
(423) 794-2450

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
207RR0500X
Rheumatology Physician

Other

Enumeration date
04/23/2010
Last updated
04/23/2010
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