Provider First Line Business Practice Location Address:
1ST STREET BLDG 204
Provider Second Line Business Practice Location Address:
JAMES H. QUILLEN VA MEDICAL CENTER EMERGENCY DEPT
Provider Business Practice Location Address City Name:
JOHNSON CITY
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37684-4000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-926-1171
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/29/2008