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Individual

ALAN V MEADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
105 W STONE DR, STE 1C, KINGSPORT, TN 37660-3256
(423) 578-1560
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1059
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3658820
TN
Enumeration date
06/09/2005
Last updated
09/22/2009
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