Individual
MUAZZAM ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6056
(423) 439-7280
(423) 439-7314
Mailing address
69 DOGWOOD AVENUE, MOUNTAIN HOME, TN 37684
(609) 442-1586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61642
TN
Other
Enumeration date
05/25/2017
Last updated
09/21/2020
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