Organization
HOLSTON REGIONAL ALTERNATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JAMES TASKER M.D. (PHYSICIAN)
(423) 384-9266
Entity
Organization
Contact information
Practice address
1303 E CENTER ST, KINGSPORT, TN 37664-2444
(423) 384-4443
(423) 239-9649
Mailing address
1303 E CENTER ST, KINGSPORT, TN 37664-2444
(423) 384-4443
(423) 239-9649
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD017578
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6205721
—
VA
Enumeration date
10/02/2007
Last updated
01/27/2011
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