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1003278672
MARY AXELRAD
KINGSPORT, TN
NPI
1003278672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TN 58418)
Enumeration Date
2016-03-23
Last Update Date
2024-01-16
Business Address
MARY AXELRAD MD
4848 FORT HENRY DR
KINGSPORT, TN 37663-3347
Phone number: 423-239-5141
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Mailing Address
MARY AXELRAD MD
PO BOX 9
KINGSPORT, TN 37662-0009
Phone number: 423-857-2093
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