Individual
REBECCA L CLONCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
303 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2392
(423) 282-5611
(423) 282-5712
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 282-5611
(423) 282-5712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5554
TN
Other
Enumeration date
06/21/2023
Last updated
02/13/2025
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