Individual
DR. SUSAN MONTELLA BLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
709 CLANDON DR, KINGSPORT, TN 37660-5036
(423) 378-3267
(423) 378-3343
Mailing address
709 CLANDON DR, KINGSPORT, TN 37660-5036
(423) 378-3267
(423) 378-3343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000016781
TN
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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