Individual
MELVIN ALLEN UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4307 N ROAN ST STE 7, JOHNSON CITY, TN 37615-4973
(423) 491-5222
Mailing address
115 STAGE RD, JONESBOROUGH, TN 37659-5636
(423) 620-3543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13266
TN
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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