Organization
EAST TENNESSEE MEDICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY E VERMILLION M.D. (VICE-PRESIDENT)
(423) 929-7158
Entity
Organization
Contact information
Practice address
107 WOODLAWN DR, JOHNSON CITY, TN 37604-5978
(423) 929-7158
(423) 928-9625
Mailing address
107 WOODLAWN DR, JOHNSON CITY, TN 37604-5978
(423) 929-7158
(423) 928-9625
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD6775
TN
Other
Enumeration date
08/31/2006
Last updated
01/13/2010
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