Individual
TIMOTHY PAUL ZAJONC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2340 KNOB CREEK RD 704, JOHNSON CITY, TN 37604-2977
(423) 929-9101
(423) 434-2032
Mailing address
2340 KNOB CREEK ROAD, SUITE 704, JOHNSON CITY, TN 37604
(423) 929-9101
(423) 434-2032
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35015
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3859294
—
TN
01
—
4008692
BCBS
TN
01
—
CA7519
RAILROAD MEDICARE
TN
Enumeration date
03/10/2006
Last updated
07/23/2015
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