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Michael Karl Medina, MD
Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee
NPI 1730878729

Michael Karl Medina is a Student in an Organized Health Care Education/Training Program based in Johnson City, TN. Michael Karl Medina practices in Johnson City, TN and has the professional credentials of MD. The NPI Number for Michael Karl Medina is 1730878729 and holds a License No. (Tennessee).

The current practice location address for Michael Karl Medina is 325 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-439-7280 and via fax at 423-439-7314.

Location: 325 N State Of Franklin Rd, Johnson City, TN, 37604-6056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730878729
Provider Name
Michael Karl Medina
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
325 N State Of Franklin Rd, Johnson City, TN, 37604-6056
Phone Number
423-439-7280
Fax Number
423-439-7314
Provider Enumeration Date
05/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6056
Phone Number
423-439-7280
Fax Number
423-439-7314
person
Provider Business Mailing Address Details
Address
325 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6056
Phone Number
423-439-7280
Fax Number
423-439-7314
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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