Individual
JANET FLORENCE STASTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2400 SUSANNAH ST STE A, JOHNSON CITY, TN 37601-1730
(423) 283-4734
(423) 283-4736
Mailing address
2400 SUSANNAH ST STE A, JOHNSON CITY, TN 37601-1730
(423) 283-4734
(423) 283-4736
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
D00000001291
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D00000001291
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3305840
—
TN
Enumeration date
12/05/2005
Last updated
03/14/2019
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