Individual
DR. ROGER W ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 PROFESSIONAL PARK PVT DR, KINGSPORT, TN 37663-2288
(423) 224-3350
(423) 239-8581
Mailing address
PO BOX 3889, JOHNSON CITY, TN 37602-3889
(423) 230-2100
(423) 230-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1071
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5612721
—
VA
Enumeration date
08/11/2006
Last updated
03/05/2021
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