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Individual

JOHNATHAN MYLES WINSTEAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2340 KNOB CREEK RD 704, JOHNSON CITY, TN 37604-2977
(423) 929-9101
Mailing address
215 E WATAUGA AVE, JOHNSON CITY, TN 37601-4671
(423) 929-9101
(423) 434-2032

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
43054
TN

Other

Enumeration date
01/15/2008
Last updated
11/03/2015
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