Individual
MICHAEL R MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
303 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2392
(423) 282-5611
(423) 282-5712
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 282-5611
(423) 282-5712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3569
TN
Other
Enumeration date
05/11/2017
Last updated
02/19/2025
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