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Individual

MS. WENDY K. ZOURAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
400 N STATE OF FRANKLIN RD, RM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-2727
(423) 431-6715
Mailing address
400 N STATE OF FRANKLIN RD, RM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-2727
(423) 431-6715

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45023
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
45023
TN
207RP1001X
Pulmonary Disease Physician
45023
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1514603
TN
05
1770539868
NC
05
1770539868
VA
05
7100080780
KY
01
P00819101
RAILROAD MEDICARE
TN
Enumeration date
05/26/2006
Last updated
10/04/2023
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