Stephen D. Pershing MD Pllc

NPI #1104159417 in Vonore, Tennessee

Provider Information

NPI Number: 1104159417
Entity Type: Organization
Organization Name: Stephen D. Pershing MD Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Sep 18, 2009
Last Updated: Sep 18, 2009

Practice Location

Address: 125 MOUNTAIN VIEW DR
Address 2: SUITE 200
City: Vonore
State: Tennessee
ZIP Code: 37885-2666
Phone: (423) 884-2308

Authorized Official

Name: DR. STEPHEN DOUGLAS PERSHING, M.D.
Title: OWNER
Phone: (423) 884-2308

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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