Individual
MR. WAYNE ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5621
(423) 232-2600
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
240449
TN
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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