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NPI Provider: 1629073630
Contact Name: Dixon Randall
Position: Physician Assistant
Phone: (423) 743-9994
Erwin Medical Clinic Information:
Erwin Medical Clinic organization have npi 1629073630, taxonomy code is 261QP2300X with license number is 187 in . This Business address located in 3101 Browns Mill Rd, Johnson City, TN 37604 Tennessee. Get directions of Erwin Medical Clinic.
Practice Location
Address: 1201 N Main Ave, Erwin, TN 37650
Phone: (423) 743-9994
Business Location
Address: 3101 Browns Mill Rd, Johnson City, TN 37604
Phone: (423) 743-9994
Fax: (423) 743-9995
Taxonomy
Taxonomy Code: 261QP2300X
License Number: 187
License Number of State: TN
Primary Taxonomy Switch: Y
Enumeration Date: 6/16/2005
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