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Individual

JOHN P TEILHET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
410 N STATE OF FRANKLIN RD STE 140, JOHNSON CITY, TN 37604-6972
(423) 431-2460
(423) 431-2465
Mailing address
410 N STATE OF FRANKLIN RD STE 140, JOHNSON CITY, TN 37604-6972
(423) 431-2460
(423) 431-2465

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1850
TN
363AM0700X
Medical Physician Assistant
Primary
1850
TN
363AS0400X
Surgical Physician Assistant
1850
TN

Other

Enumeration date
07/06/2010
Last updated
02/07/2020
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