ID MICRO PLLC

KINGSPORT, TN
NPI1477598076
Entity TypeOrganization
Authorized ContactANTON MAKI
Owner
423-915-1126
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: TN  MD38189)
Enumeration Date2006-06-18
Last Update Date2012-01-24
Business Address
ID MICRO PLLC
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-915-1126
Mailing Address
ID MICRO PLLC
130 W RAVINE RD
KINGSPORT, TN 37660-3837
Phone number: 423-915-1126