Individual
MARK E. EDENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SIDNEY AND LAMONT ST, JOHNSON CITY, TN 37601
(423) 926-1171
Mailing address
806 LIZABETH DR, JOHNSON CITY, TN 37604-1949
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14335
TN
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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