Individual
SARA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MED TECH PKWY, JOHNSON CITY, TN 37604-2277
(423) 302-1000
Mailing address
300 MED TECH PKWY, JOHNSON CITY, TN 37604-2277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000192635
TN
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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