ROGER DWAYNE SHOCKEY

JOHNSON CITY, TN
NPI1992240808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  APN0000022052)
Enumeration Date2017-01-01
Last Update Date2017-01-01
Business Address
-- ROGER DWAYNE SHOCKEY FNP
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-6111
Mailing Address
-- ROGER DWAYNE SHOCKEY FNP
828 WINCHESTER DR
GREENEVILLE, TN 37743-6050
Phone number: 423-620-4558
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