Organization
EAST TENNESSEE HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LEE BAGWELL M.A., CCC-A (AUDIOLOGIST)
(423) 928-2885
Entity
Organization
Contact information
Practice address
112 E MYRTLE AVE, SUITE 504, JOHNSON CITY, TN 37601-8600
(423) 928-2885
(423) 928-2885
Mailing address
112 E MYRTLE AVE, SUITE 504, JOHNSON CITY, TN 37601-8600
(423) 928-2885
(423) 928-2885
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
A000000041
TN
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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