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Individual

LINDEN C FERNANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1019 W OAKLAND AVE, SUITE 1, JOHNSON CITY, TN 37604-2357
(423) 915-5000
(423) 915-5045
Mailing address
1019 W OAKLAND AVE, SUITE 1, JOHNSON CITY, TN 37604-2357
(423) 915-5000
(423) 915-5045

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17808
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447208129
VA
01
P00888003
RR MEDICARE
TN
05
Q003269
TN
Enumeration date
05/04/2006
Last updated
03/26/2015
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