WAYNE KEITH SHORTER

JOHNSON CITY, TN
NPI1457455131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2006-09-12
Last Update Date2007-07-08
Business Address
MR. WAYNE KEITH SHORTER MED
109 W WATANGA AVE
JOHNSON CITY, TN 37604
Phone number: 423-232-2700
Mailing Address
MR. WAYNE KEITH SHORTER MED
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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