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Search › Tennessee › 207RC0200X

Mitchell Deshazer

NPI 1023276870 · on the registry since 2008 · sole proprietor

Practice

Address
400 N State Of Franklin Rd
Room 2746
Johnson City, TN 37604
Phone
(423) 431-2727
Fax
(423) 431-6715
Organisation at this address
Johnson City Medical Center
Mountain States Health Alliance
Watauga Pathology Associates Pc
Mountain States Health Alliance
Mountain States Health Alliance
Inferred from a shared address, not stated in the registry.
Clinicians at this address
174

Registry record

Primary taxonomy
207RC0200X
207RC0200X
Also registered as
208M00000X
207R00000X
207R00000X
207R00000X
207RP1001X
Licence states on file
TX, UT, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee