Individual
JEFFREY WAYNE SCHOONDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N STATE OF FRANKLIN RD STE 2, JOHNSON CITY, TN 37604-3645
(423) 926-4468
(423) 928-4838
Mailing address
PO BOX 5159, JOHNSON CITY, TN 37602-5159
(423) 926-4468
(423) 928-4838
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
101237133
VA
207RC0000X
Cardiovascular Disease Physician
Primary
36563
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010113652
—
VA
Enumeration date
10/10/2005
Last updated
02/12/2018
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