Individual
MISS LAURA AUSTIN SLUSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 W STONE DR, KINGSPORT, TN 37660
(423) 968-1144
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101248047
VA
2085R0202X
Diagnostic Radiology Physician
Primary
57648
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q021332
—
TN
Enumeration date
04/29/2008
Last updated
11/14/2018
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