Individual
DR. HOWARD MIZE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2202 JOHN B DENNIS HWY, SUITE 100, KINGSPORT, TN 37660
(423) 245-3161
(423) 857-8129
Mailing address
2202 JOHN B DENNIS HWY, SUITE 100, KINGSPORT, TN 37660
(423) 245-3161
(423) 857-8129
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD010500
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006404715
—
VA
05
—
3163490
—
TN
01
—
MD010500
LICENSE
TN
Enumeration date
06/12/2006
Last updated
05/02/2012
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