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Ray W. Mettetal Jr., M.d. Inc.
Medical Specialty Clinic/Center in Johnson City, Tennessee
NPI 1043451578

Ray W. Mettetal Jr., M.d. Inc. is a Medical Specialty Clinic/Center based in Johnson City, TN and is specialized in Medical Specialty. Ray W. Mettetal Jr., M.d. Inc. practices in Johnson City, TN. The NPI Number for Ray W. Mettetal Jr., M.d. Inc. is 1043451578 and holds a License No. MD 10753 (Tennessee).

The current practice location address for Ray W. Mettetal Jr., M.d. Inc. is 329 Wesley St Ste 4, Johnson City, TN and can be reached out via phone at 423-282-5411 and via fax at 423-282-5951.

Location: 329 Wesley St Ste 4, Johnson City, TN, 37601-3932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043451578
Provider Name
Ray W. Mettetal Jr., M.d. Inc.
Credential
Provider Entity Type
Organization
Address
329 Wesley St Ste 4, Johnson City, TN, 37601-3932
Phone Number
423-282-5411
Fax Number
423-282-5951
Provider Enumeration Date
03/12/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
329 Wesley St Ste 4
City
Johnson City
State
Tennessee
Zip
37601-1721
Phone Number
423-282-5411
Fax Number
423-282-5951
person
Provider Business Mailing Address Details
Address
329 Wesley St Ste 4
City
Johnson City
State
Tennessee
Zip
37601-1721
Phone Number
423-282-5411
Fax Number
423-282-5951
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD 10753 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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