Individual
DR. DONNA LEE WYCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
308 SUNSET DR STE 1, JOHNSON CITY, TN 37604-2489
(423) 282-2822
(423) 283-5440
Mailing address
SUITE #1, 308 SUNSET DRIVE, JOHNSON CITY, TN 37604
(423) 282-2822
(423) 282-5492
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD0000020021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3056258
—
TN
Enumeration date
07/23/2006
Last updated
08/15/2019
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