Individual
JASON T HATJIOANNOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1930 VILLA CT, JOHNSON CITY, TN 37615-4590
(423) 913-1423
Mailing address
1930 VILLA CT, JOHNSON CITY, TN 37615-4590
(423) 491-3214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18504
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3046331
—
TN
Enumeration date
06/15/2005
Last updated
01/19/2023
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