NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1356975106 |   |   |   | EAST TENNESSEE MEDICAL AND SURGICAL DERMATOLOGY | 2898 BOONES CREEK RD STE 105 | JOHNSON CITY | TN | 376154976 |
1013902907 | LEICHT | STUART | S |   | 2898 BOONES CREEK RD STE 105 | JOHNSON CITY | TN | 376154976 |