Organization
ALLERGY & ASTHMA CENTER PC MD
Active
Other names
Donna Wyche-Bashor MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA LEE WYCHE M.D. (PHYSICIAN/OWNER)
(423) 282-2822
Entity
Organization
Contact information
Practice address
308 SUNSET DR, SUITE 1, JOHNSON CITY, TN 37604-2489
(423) 282-2822
(423) 282-5492
Mailing address
308 SUNSET DR, SUITE 1, JOHNSON CITY, TN 37604-2489
(423) 282-2822
(423) 282-5492
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD0000020021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4054578
—
TN
Enumeration date
07/31/2007
Last updated
04/23/2019
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