Individual
DR. ETHEL L LONGMIRE O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 MED TECH PKWY STE 10, JOHNSON CITY, TN 37604-2278
(234) 979-5620
(423) 926-1823
Mailing address
PO BOX 370, MOUNTAIN HOME, TN 37684-0370
(423) 979-5620
(423) 926-1823
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101232114
VA
Other
Enumeration date
01/27/2006
Last updated
12/01/2022
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