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Organization

JOHNSON CITY OB/GYN ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA PRESNELL (OFFICE MANAGER)
(423) 979-2536
Entity
Organization

Contact information

Practice address
2 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604-6583
(423) 926-8813
(423) 926-8910
Mailing address
2 PROFESSIONAL PARK DR, SUITE 21, JOHNSON CITY, TN 37604-6583
(423) 926-8813
(423) 926-8910

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3718898
TN
01
4068254
BCBS OF TENNESSEE
TN
05
790241Q
NC
Enumeration date
07/07/2006
Last updated
06/15/2010
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