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Organization

ROANE MEDICAL CENTER

Active
Other names
Dr. J. Fred Znider
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE GRAYSON (BILLING CLERK)
(865) 882-4440
Entity
Organization

Contact information

Practice address
814 N KENTUCKY ST, KINGSTON, TN 37763-2678
(865) 376-6302
(865) 376-2989
Mailing address
814 N KENTUCKY ST, KINGSTON, TN 37763-2678

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00000029236
TN
363L00000X
Nurse Practitioner
APN0000010675
TN

Other

Enumeration date
07/13/2007
Last updated
01/17/2008
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