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Organization

ID CONSULTANT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HIREN B PATEL MD (OWNER)
(423) 943-4030
Entity
Organization

Contact information

Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 783-6400
(423) 787-5146
Mailing address
PO BOX 4015, JOHNSON CITY, TN 37602-4015
(423) 915-1126
(423) 915-0635

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
11/28/2011
Last updated
11/28/2011
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