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Individual

ERIN DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
701 MED TECH PKWY, SUITE 300, JOHNSON CITY, TN 37604-2365
(423) 232-8301
(423) 232-8304
Mailing address
701 MED TECH PKWY, SUITE 300, JOHNSON CITY, TN 37604-2365
(423) 232-8301
(423) 232-8304

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0000002455
TN

Other

Enumeration date
02/06/2014
Last updated
03/04/2016
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