Organization
MPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN COX MD (OWNER)
(423) 767-8268
Entity
Organization
Contact information
Practice address
100 STALLING LN, ERWIN, TN 37650
(423) 743-4131
(423) 743-6314
Mailing address
2603 AVONDALE DR, JOHNSON CITY, TN 37604-1902
(423) 767-8268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
46691
TN
208D00000X
General Practice Physician
Primary
46691
TN
208M00000X
Hospitalist Physician
46691
TN
Other
Enumeration date
07/12/2018
Last updated
07/25/2018
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