Organization
TRI CITIES ESTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA B NORTHROP FNP (PRESIDENT)
(423) 854-0001
Entity
Organization
Contact information
Practice address
101 MED TECH PKWY, SUITE 402, JOHNSON CITY, TN 37604-4007
(423) 854-0001
(423) 854-0002
Mailing address
101 MED TECH PKWY, SUITE 402, JOHNSON CITY, TN 37604-4007
(423) 854-0001
(423) 854-0002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12571
TN
Other
Enumeration date
04/25/2008
Last updated
09/24/2009
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