Individual
ALICE CARDIN COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPH
Contact information
Practice address
128 W STONE DR, KINGSPORT, TN 37660-3221
(423) 963-4539
Mailing address
113 SOUTHRIDGE DR, BLOUNTVILLE, TN 37617-4877
(423) 963-4539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202208687
VA
183500000X
Pharmacist
Primary
9697
TN
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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