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Individual

DR. JOEL A DANISI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 SHERIDAN SQ STE 200, KINGSPORT, TN 37660-7435
(423) 246-7931
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61448
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q076794
TN
Enumeration date
07/14/2006
Last updated
01/17/2024
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