Healthstar Physicians, Pc

NPI 1013307669 - Family Medicine - 207Q00000X

NPI Details
NPI 1013307669
Enumeration Date 02/03/2015
Last Updated 02/03/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name DONALD L DONALD
Position CEO
Phone (423) 623-6240
Fax (423) 623-0102
Practice Location
407 4TH ST
NEWPORT TN, 37821-3755, US
Phone (423) 623-6240
Fax (423) 623-0102
Business Location
407 4TH ST
NEWPORT TN, 37821-3755, US
Phone (423) 623-6240
Fax (423) 623-0102
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD17859
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According to our database, Healthstar Physicians, Pc NPI is 1013307669, taxonomy code is 207Q00000X and license number is MD17859, license state is located at Tennessee. Healthstar Physicians, Pc physically located at 407 4th St, Newport TN, 37821-3755. NPI Number 1033115704 has the healthcare provider type.

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1013307669 NPI number is provided on an as is basis without warranty of any kind. 1013307669 is maintained by the National Plan & Provider Enumeration System. The contents of Healthstar Physicians, Pc are for informational purposes only.