Individual
AVTAR S DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1416 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 979-6257
(423) 979-6285
Mailing address
1416 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 979-6257
(423) 979-6285
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD10146
TN
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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