Individual
JAKUB TOMCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CASSELL DR, KINGSPORT, TN 37660-3747
(423) 245-9626
Mailing address
201 CASSEL DR, KINGSPORT, TN 37660
(423) 245-9626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101247437
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2007
Last updated
01/17/2011
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