Individual
MR. JORGE FEDERICO FUCHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA SPF
Contact information
Practice address
2001 STONEBROOK PLACE, KINGSPORT, TN 37660
(423) 224-1318
(423) 224-1328
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PE0000011190
TN
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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