| James H. Quillen/vamc | |
|
Corner Of Sidney And Lamont Johnson City TN 37684 | |
| (423) 926-1171 | |
| Not Available |
| Full Name | James H. Quillen/vamc |
|---|---|
| Speciality | Clinic/center |
| Location | Corner Of Sidney And Lamont, Johnson City, Tennessee |
| Authorized Official Name and Position | David Lane (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4239261171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James H. Quillen/vamc Corner Of Sidney And Lamont Johnson City TN 37684 Ph: () - | James H. Quillen/vamc Corner Of Sidney And Lamont Johnson City TN 37684 Ph: (423) 926-1171 |
| NPI Number | 1265549992 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265549992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD16826 (Tennessee) | Primary |
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