Individual
DR. MAURICE DOUGLAS KISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.PH
Contact information
Practice address
103 N SHADY ST, MOUNTAIN CITY, TN 37683-1333
(423) 727-5651
(423) 727-0148
Mailing address
103 N SHADY ST, MOUNTAIN CITY, TN 37683-1333
(423) 727-5651
(423) 727-0148
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5496
TN
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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