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Individual

DAN FRECHTLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4 SHERIDAN SQ STE 200, KINGSPORT, TN 37660-7435
(423) 246-7931
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71548
TN
208M00000X
Hospitalist Physician
71548
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q095501
TN
Enumeration date
04/06/2021
Last updated
11/25/2024
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