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Organization

JOHNSON CITY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA POWELL M.D. (TRAUMA PROGRAM ATTENDING)
(423) 431-5809
Entity
Organization

Contact information

Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6831
Mailing address
105 HIDDEN VALLEY RD, JOHNSON CITY, TN 37601-6304
(423) 773-9353

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
17922
TN

Other

Enumeration date
07/29/2015
Last updated
07/29/2015
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