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Individual

DANIEL JOHN CHESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
105 W STONE DR STE 4A, KINGSPORT, TN 37660-3365
(423) 392-6265
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
68720
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/11/2018
Last updated
09/26/2023
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