Va Medical Center Mountain Home, Tn

NPI #1427201813 in Johnson City, Tennessee

Provider Information

NPI Number
1427201813
Entity Type
Organization
Organization Name
Va Medical Center Mountain Home, Tn
Primary Specialty
General Acute Care Hospital
Enumeration Date
Oct 29, 2008
Last Updated
Oct 29, 2008

Practice Location

Address
1ST STREET BLDG 204
Address 2
JAMES H. QUILLEN VA MEDICAL CENTER EMERGENCY DEPT
ZIP Code
37684-4000
Phone
(423) 926-1171

Authorized Official

Name
MR. JOHN FRANK TESTERMAN III, PA-C
Title
PHYSICAN ASSISTANT
Phone
(423) 926-1171

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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