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Heather Coburn, PA-C
NPI 1932165545 · on the registry since 2006
Practice
- Address
- 1019 W Oakland Ave
Suite 1
Johnson City, TN 37604 - Phone
- (423) 915-5000
- Fax
- (423) 915-5045
- Organisation at this address
- Tlc The Laser Center (Tri-Cities) Inc
Blue Ridge Medical Management CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Additional practice sites
- 378 Marketplace Dr Ste 5, Johnson City, TN
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-04
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