Jonesborough Medical Pllc
NPI #1841403243 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1841403243
- Entity Type
- Organization
- Organization Name
- Jonesborough Medical Pllc
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- May 8, 2007
- Last Updated
- Jan 6, 2023
Practice Location
- Address
- 1003 E JACKSON BLVD
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659-1538
- Phone
- (423) 753-6077
Authorized Official
- Name
- MOUSA NASERI
- Title
- OWNER
- Phone
- (423) 753-6077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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