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Individual

MRS. CYNTHIA MCGLOTHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
350 STEELES RD, BRISTOL, TN 37620-9532
(423) 844-4925
(423) 844-4933
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
0024165896
VA
363LW0102X
Women's Health Nurse Practitioner
Primary
144476
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010114497
VA
05
3499917
TN
Enumeration date
05/24/2005
Last updated
08/28/2009
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