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Individual

DR. WARREN JONES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4848 FORT HENRY DR, KINGSPORT, TN 37663-3347
(423) 239-5141
(423) 239-4869
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101042546
VA
207Q00000X
Family Medicine Physician
Primary
MD 18855
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3033452
TN
05
5641683
VA
Enumeration date
05/26/2005
Last updated
09/18/2009
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