Individual
MRS. ALBERTINE DEWIT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 N STATE OF FRANKLIN RD, SUITE #201, JOHNSON CITY, TN 37604
(423) 928-3051
(423) 928-8840
Mailing address
310 N STATE OF FRANKLIN RD, SUITE #201, JOHNSON CITY, TN 37604
(423) 928-3051
(423) 928-8840
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
13647
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15491
BCBS COMMERCIAL
TN
05
—
3382675
—
TN
Enumeration date
05/11/2006
Last updated
07/08/2007
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