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Individual

MARCIA M SENTELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
301 MED TECH PKWY, STE 200, JOHNSON CITY, TN 37604
(423) 794-1300
(423) 794-1820
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 794-1300
(423) 794-1820

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19619
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3046462
TN
05
3046469
TN
Enumeration date
06/15/2005
Last updated
07/11/2018
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