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Dr. Connie Jo Pennington, MD
Specialist in Johnson City, Tennessee
NPI 1790783330

Connie Jo Pennington is a Specialist based in Johnson City, TN. Connie Jo Pennington practices in Johnson City, TN and has the professional credentials of MD. The NPI Number for Connie Jo Pennington is 1790783330 and holds a License No. MD0000030358 (Tennessee).

The current practice location address for Connie Jo Pennington is 2306 Knob Creek Rd, Johnson City, TN and can be reached out via phone at 423-610-1177 and via fax at 423-610-1179.

Location: 2306 Knob Creek Rd, Johnson City, TN, 37604-2366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790783330
Provider Name
Connie Jo Pennington
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2306 Knob Creek Rd, Johnson City, TN, 37604-2366
Phone Number
423-610-1177
Fax Number
423-610-1179
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3875906 05 TN
3370584 05 TN
institution
Provider Business Practice Location Address Details
Address
2306 Knob Creek Rd
City
Johnson City
State
Tennessee
Zip
37604-2366
Phone Number
423-610-1177
Fax Number
423-610-1179
person
Provider Business Mailing Address Details
Address
2306 Knob Creek Rd
City
Johnson City
State
Tennessee
Zip
37604-2366
Phone Number
423-610-1177
Fax Number
423-610-1179
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD0000030358 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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