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Drs Montenegro & De Wit
Specialist in Johnson City, Tennessee
NPI 1972602894

Drs Montenegro & De Wit is a Specialist based in Johnson City, TN. Drs Montenegro & De Wit practices in Johnson City, TN. The NPI Number for Drs Montenegro & De Wit is 1972602894 and holds a License No. 013647 (Tennessee).

The current practice location address for Drs Montenegro & De Wit is 310 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-928-3051 and via fax at 423-928-8840.

Location: 310 N State Of Franklin Rd, Johnson City, TN, 37604-6008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972602894
Provider Name
Drs Montenegro & De Wit
Credential
Provider Entity Type
Organization
Address
310 N State Of Franklin Rd, Johnson City, TN, 37604-6008
Phone Number
423-928-3051
Fax Number
423-928-8840
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15491 01 TN BCBS
3382675 05 TN
129760 01 TN TRIGON BCBS
institution
Provider Business Practice Location Address Details
Address
310 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6008
Phone Number
423-928-3051
Fax Number
423-928-8840
person
Provider Business Mailing Address Details
Address
310 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6008
Phone Number
423-928-3051
Fax Number
423-928-8840
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
013647 (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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