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Individual

ZVJEZDANA DEKIC-DJORDJEVIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 722-2057
(423) 542-5109
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 722-2057
(423) 542-5109

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37669
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3887978
TN
Enumeration date
07/29/2005
Last updated
01/20/2010
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