Individual
MARC A AIKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18545
TN
207XX0801X
Orthopaedic Trauma Physician
MD0000018545
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034130
—
TN
Enumeration date
04/21/2006
Last updated
12/16/2019
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