Organization
LINDEN CEDRIC FERNANDO, MC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY A HENEGAR (BILLING AND CRENDENTIALING)
(423) 341-2570
Entity
Organization
Contact information
Practice address
2726 W STATE ST, BRISTOL, TN 37620-1827
(423) 758-6744
(423) 758-6741
Mailing address
2726 W STATE ST, BRISTOL, TN 37620-1827
(423) 758-6744
(423) 758-6741
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
17808
TN
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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