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Search › Tennessee › 207R00000X

Jared Pack, DO

NPI 1396163101 · on the registry since 2014

Practice

Address
2408 Susannah St Ste 1
Johnson City, TN 37601
Phone
(423) 434-6677
Fax
(423) 461-0000
Organisation at this address
Dlv Medical, Pllc
Families Free Inc
Tri-State Cardiology
Life Well Pharmacy, Llc
Life Well Pharmacy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
208M00000X
390200000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-30

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