NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1760486369 |   |   |   | MOUNTAIN EMPIRE SURGERY CENTER LP | 601 MED TECH PKWY | JOHNSON CITY | TN | 376042253 |
1386975738 | ROARK | AMANDA | R |   | 1009 LARK ST STE 2 | JOHNSON CITY | TN | 376048218 |
1790777084 | ROLLER | RACHEL | C |   | 1009 LARK ST STE 2 | JOHNSON CITY | TN | 376048218 |
1841282134 | ROOT | LISA | KAY |   | 1009 LARK ST STE 2 | JOHNSON CITY | TN | 376048218 |