Individual
CYNTHIA M COLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1019 W OAKLAND AVE, SUITE 1, JOHNSON CITY, TN 37604-2357
(423) 915-5000
(423) 915-5045
Mailing address
1019 W OAKLAND AVE, SUITE 1, JOHNSON CITY, TN 37604-2357
(423) 915-5000
(423) 915-5045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD31852
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3130635
BCBS
TN
05
—
3846085 GRP3706267
—
TN
05
—
3846086 GRP 3709285
—
TN
05
—
3846088 GRP 3706268
—
TN
01
—
TN0100
JOHN DEERE
TN
01
—
TN01G5
JOHN DEERE
TN
01
—
TN01M5
JOHN DEERE
TN
Enumeration date
08/08/2006
Last updated
02/18/2010
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