Individual
SARIYA WONGSAENGSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2202 N JOHN B DENNIS HWY STE 100, KINGSPORT, TN 37660-5904
(423) 578-8500
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
69625
TN
207RH0003X
Hematology & Oncology Physician
Primary
69625
TN
207RH0003X
Hematology & Oncology Physician
85478
SC
390200000X
Student in an Organized Health Care Education/Training Program
679355
TX
Other
Enumeration date
06/25/2018
Last updated
12/19/2024
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