Individual
MR. SAMUEL R FITZPATRICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DIPL.O.M.,RES
Contact information
Practice address
1944 BROOKSIDE DR, SUITE 3, KINGSPORT, TN 37660-4618
(423) 230-0005
Mailing address
1944 BROOKSIDE DR, SUITE 3, KINGSPORT, TN 37660-4618
(423) 230-0005
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACO0000000006
TN
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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