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Individual

JAMES RICHARD RISNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1021 W OAKLAND AVE, SUITE 102, JOHNSON CITY, TN 37604-2191
(423) 928-9014
(423) 928-3559
Mailing address
1021 W OAKLAND AVE, SUITE 102, JOHNSON CITY, TN 37604-2191
(423) 928-9014
(423) 928-3559

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
PA0000000411
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3701830
TN
01
TN0104
JOHN DEERE HEALTHCARE
Enumeration date
11/04/2005
Last updated
12/10/2012
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