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MR. MELVIN JAMES WILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
JAMES H QUILLEN/VA MEDICAL CENTER, CONER OF SIDNEY & LAMONT, JOHNSON CITY, TN 37684
(423) 926-1171
(423) 979-3574
Mailing address
142 DOVE DR, JONESBORO, TN 37659-4780
(423) 926-1171
(423) 979-3574

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TN 0250
TN

Other

Enumeration date
06/12/2006
Last updated
07/08/2007
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