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1871595058
JEWEL JOHNNY WHITE
KINGSPORT, TN
NPI
1871595058
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TN MD 16405)
Enumeration Date
2005-06-01
Last Update Date
2014-05-20
Business Address
Dr. JEWEL JOHNNY WHITE MD
105 W STONE DR STE 1F
KINGSPORT, TN 37660-3365
Phone number: 423-857-2793
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Mailing Address
Dr. JEWEL JOHNNY WHITE MD
PO BOX 9
KINGSPORT, TN 37662
Phone number: 423-857-2793
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