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Individual

CALEB CHARLES OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
917 W WALNUT ST, JOHNSON CITY, TN 37604-6527
(423) 439-6464
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65030
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
65030
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q041980
TN
Enumeration date
04/15/2018
Last updated
01/24/2024
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