Organization
TRI CITIES MEN'S HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LORRAINE BREWER FNP-C (CEO/OWNER)
(770) 881-6205
Entity
Organization
Contact information
Practice address
154 W SPRINGBROOK DR, JOHNSON CITY, TN 37604-1758
(770) 881-6205
Mailing address
154 W SPRINGBROOK DR, JOHNSON CITY, TN 37604-1758
(770) 881-6205
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
85103
TN
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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