Individual
DR. RANDALL FALCONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1728 N EASTMAN RD, KINGSPORT, TN 37664-2371
(423) 230-6532
(423) 230-4859
Mailing address
1728 N EASTMAN RD, KINGSPORT, TN 37664-2371
(423) 230-6532
(423) 230-4859
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD 18839
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3036752
—
TN
05
—
6502512
—
VA
Enumeration date
05/23/2005
Last updated
07/08/2007
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