Individual
JACK GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD, 2ND FLOOR, JOHNSON CITY, TN 37604
(423) 439-7280
(423) 493-7314
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 439-7280
(423) 439-7314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17987
TN
Other
Enumeration date
09/29/2006
Last updated
08/22/2018
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