Individual
ASHLYN FADIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 LAMONT ST, JOHNSON CITY, TN 37604-5453
(423) 926-1171
Mailing address
148 KALUNA AVE, BLUFF CITY, TN 37618-1231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39526
TN
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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