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Individual

MR. BRIAN H PLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604-6971
(423) 431-2477
(423) 431-2478
Mailing address
410 N STATE OF FRANKLIN RD, SUITE 130, JOHNSON CITY, TN 37604-6971
(423) 431-2477
(423) 431-2478

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1320
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1522339
TN
05
1972587277
NC
05
1972587277
VA
05
3664045
TN
01
4117242
BCBST
TN
Enumeration date
12/01/2005
Last updated
02/21/2017
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