Individual
DR. ANNE M CONQUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 N STATE OF FRANKLIN RD RM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101269616
VA
208600000X
Surgery Physician
2007-00350
NC
2086S0102X
Surgical Critical Care Physician
Primary
0101269616
VA
2086S0102X
Surgical Critical Care Physician
35516
OK
2086S0127X
Trauma Surgery Physician
2007-00350
NC
2086S0127X
Trauma Surgery Physician
MD40667
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620476822
TAX ID
—
Enumeration date
06/27/2006
Last updated
02/28/2024
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