Individual
MR. JOHNNY DALE LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2017 STONEBROOK PLACE, FRONTIER HEALTH FRONTIER INDUSTRIES, KINGSPORT, TN 37660
(423) 224-1412
(423) 224-1418
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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