Individual
DR. JOSEPH JEFFREY WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT, JOHNSON CITY, TN 37684
(423) 926-1171
Mailing address
282 SNYDER RD, GRAY, TN 37615-2850
(423) 467-3527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 0000021126
TN
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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