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Organization

VA MEDICAL CENTER MOUNTAIN HOME, TN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN FRANK TESTERMAN III PA-C (PHYSICAN ASSISTANT)
(423) 926-1171
Entity
Organization

Contact information

Practice address
1ST STREET BLDG 204, JAMES H. QUILLEN VA MEDICAL CENTER EMERGENCY DEPT, JOHNSON CITY, TN 37684-4000
(423) 926-1171
Mailing address
1ST STREET, BLDG 204, JAMES H. QUILLEN VA MEDICAL CENTER EMERGENCY DEPT, JOHNSON CITY, TN 37684
(423) 926-1171

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
TNPA036
TN

Other

Enumeration date
10/29/2008
Last updated
10/29/2008
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