Individual
DR. JUSTIN MICHAEL BISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1420 W STONE DR, KINGSPORT, TN 37660-2522
(423) 246-3551
(423) 246-3939
Mailing address
1420 W STONE DR, KINGSPORT, TN 37660-2522
(423) 246-3551
(423) 246-3939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21809
TN
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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