Dallas Shone MD

NPI 1043213101 - Internal Medicine - 207RG0100X

NPI Details
NPI 1043213101
Gender Male
Enumeration Date 05/23/2005
Last Updated 01/07/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
105 W STONE DR
STE 4C
KINGSPORT TN, 37660-3256, US
Phone (423) 578-1595
Fax (423) 392-6624
Business Location
PO BOX 9
KINGSPORT TN, 37662-0009, US
Phone (423) 857-2066
Fax (423) 857-2070
Toxanomy
Taxonomy Code 207RG0100X
License State Virginia
License Number 0101051162
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According to our database, Dr. Dallas Shone MD NPI is 1043213101, taxonomy code is 207RG0100X and license number is 0101051162, license state is located at Virginia. Dallas Shone MD physically located at 105 W Stone Dr, Kingsport TN, 37660-3256. NPI Number Dallas Shone MD has the Individual type.

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1043213101 NPI number is provided on an as is basis without warranty of any kind. 1043213101 is maintained by the National Plan & Provider Enumeration System. The contents of Dallas Shone MD are for informational purposes only.