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Individual

SIA SIAHNA SLOCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
105 W STONE DR STE 4B, KINGSPORT, TN 37660-3365
(423) 578-1570
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
Primary
4496
TN

Other

Enumeration date
08/08/2019
Last updated
04/15/2026
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