Organization
ERWIN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL DIXON PA-C, MBA (PHYSICIAN ASSISTANT)
(423) 743-9994
Entity
Organization
Contact information
Practice address
1201 N MAIN AVE, STE 3, ERWIN, TN 37650-9168
(423) 743-9994
(423) 743-9995
Mailing address
3101 BROWNS MILL RD, STE 6-222, JOHNSON CITY, TN 37604-4100
(423) 743-9994
(423) 743-9995
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
00000187
TN
Other
Enumeration date
06/16/2005
Last updated
08/22/2020
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