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508 Princeton Commons Suite 403 Johnson City TN 37601-2060 | |
| (423) 722-3000 | |
| (423) 722-3009 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 508 Princeton Commons, Johnson City, Tennessee |
| Authorized Official Name and Position | Jeffrey N Dice (ASSISTANT VICE PRESIDENT) |
| Authorized Official Contact | 4234317060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
508 Princeton Commons Suite 403 Johnson City TN 37601-2060 Ph: (423) 722-3000 | 508 Princeton Commons Suite 403 Johnson City TN 37601-2060 Ph: (423) 722-3000 |
| NPI Number | 1588853295 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 11/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588853295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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