Individual
MEGHAN MARIE MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4689
TN
207Q00000X
Family Medicine Physician
82957
SC
Other
Enumeration date
07/22/2019
Last updated
09/12/2024
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