Appalchain Skin And Lasar Dba Ageless Skin And Laser

NPI 1154613511 - Clinic/Center - 261Q00000X

NPI Details
NPI 1154613511
Enumeration Date 05/04/2011
Last Updated 05/04/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARION DEAN MARION
Position PRESIDENT
Phone (423) 953-5300
Fax
Practice Location
303 MED TECH PKWY
SUITE 110
JOHNSON CITY TN, 37604-2364, US
Phone (423) 953-5300
Fax
Business Location
303 MED TECH PKWY
SUITE 110
JOHNSON CITY TN, 37604-2364, US
Phone (423) 953-5300
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Tennessee
License Number MDO24272
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According to our database, Appalchain Skin And Lasar Dba Ageless Skin And Laser NPI is 1154613511, taxonomy code is 261Q00000X and license number is MDO24272, license state is located at Tennessee. Appalchain Skin And Lasar Dba Ageless Skin And Laser physically located at 303 Med Tech Pkwy, Johnson City TN, 37604-2364. NPI Number 1033115704 has the healthcare provider type.

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1154613511 NPI number is provided on an as is basis without warranty of any kind. 1154613511 is maintained by the National Plan & Provider Enumeration System. The contents of Appalchain Skin And Lasar Dba Ageless Skin And Laser are for informational purposes only.