Individual
RYAN SERBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
MAPLE AVE, BLDG. 178, ROOM C221, MOUNTAIN HOME, TN 37684
(423) 439-2033
Mailing address
121 N COMMERCE ST STE 203, JOHNSON CITY, TN 37604-4712
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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