Organization
JAMES H. QUILLEN/VAMC
Active
Organization
JAMES H. QUILLEN/VAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LANE M.D. (MEDICAL DIRECTOR)
(423) 926-1171
Entity
Organization
Contact information
Practice address
CORNER OF SIDNEY AND LAMONT, JOHNSON CITY, TN 37684
(423) 926-1171
Mailing address
CORNER OF SIDNEY AND LAMONT, JOHNSON CITY, TN 37684
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MD16826
TN
Other
Enumeration date
08/25/2006
Last updated
01/27/2009
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