| Appalchain Skin And Lasar Dba Ageless Skin And Laser | |
|
303 Med Tech Pkwy Suite 110 Johnson City TN 37604-2364 | |
| (423) 953-5300 | |
| Not Available |
| Full Name | Appalchain Skin And Lasar Dba Ageless Skin And Laser |
|---|---|
| Speciality | Clinic/center |
| Location | 303 Med Tech Pkwy, Johnson City, Tennessee |
| Authorized Official Name and Position | Marion Dean Mclaughlin (PRESIDENT) |
| Authorized Official Contact | 4239535300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appalchain Skin And Lasar Dba Ageless Skin And Laser 303 Med Tech Pkwy Suite 110 Johnson City TN 37604-2364 Ph: (423) 953-5300 | Appalchain Skin And Lasar Dba Ageless Skin And Laser 303 Med Tech Pkwy Suite 110 Johnson City TN 37604-2364 Ph: (423) 953-5300 |
| NPI Number | 1154613511 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154613511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MDO24272 (Tennessee) | Primary |
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