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ID CONSULTANT PLLC

Organization (NPI-2) Active

Internal Medicine, Infectious Disease

Provider Information

NPI Number
1104193754
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1420 TUSCULUM BLVD, GREENEVILLE, TN, 377454279
Phone
(423) 783-6400
Fax
(423) 787-5146

Specialties & Taxonomies

Internal Medicine, Infectious Disease Primary

All Addresses

MAILING

PO BOX 4015

JOHNSON CITY, TN, 376024015

(423) 915-1126

LOCATION

1420 TUSCULUM BLVD

GREENEVILLE, TN, 377454279

(423) 783-6400