Individual
FAITH TOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1829 TODD DR, JOHNSON CITY, TN 37604-2741
(423) 946-0059
Mailing address
1829 TODD DR, JOHNSON CITY, TN 37604-2741
(423) 946-0059
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1303
TN
Other
Enumeration date
05/04/2006
Last updated
08/26/2008
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