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Individual

JUSTIN D DIGBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1497 W ELK AVE, SUITE 10, ELIZABETHTON, TN 37643-2895
(423) 542-7440
(423) 542-7445
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD34171
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1760435937
VA
01
P01081176
RAILROAD MEDICARE
TN
05
Q003376
TN
Enumeration date
05/18/2006
Last updated
08/20/2024
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