1619258308
Everything you always wanted to know about
WASHINGTON COUNTY MEDICAL, PC
3
TRI-CITIES PAIN CONSULTANTS
DR.
LENSGRAF
DEREK
but were afraid to ask.
WASHINGTON COUNTY MEDICAL, PC
3
TRI-CITIES PAIN CONSULTANTS
DR.
LENSGRAF
DEREK
You can also download the this 1619258308 data report as
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graph
| Organization Name |
Other Organization Name Type Code |
Other Organization Name |
Authorized Official Prefix |
Authorized Official Last Name |
Authorized Official First Name |
WASHINGTON COUNTY MEDICAL, PC |
3 |
TRI-CITIES PAIN CONSULTANTS |
DR. |
LENSGRAF |
DEREK |
- Gender:
- none
- Enumeration date:
- 2011-09-08
- Last update date:
- 2012-01-05
- Current as of:
- 2007-08-28
- Is sole proprietor?:
- Not Answered
- Is organization subpart?:
- No
Identifiers
| identifier |
description |
issuer |
state |
active |
| 103G701723 |
Medicare PIN |
none |
TN |
1 |
| 6611580001 |
Medicare NSC |
none |
TN |
1 |
| 1525482 |
Medicaid |
none |
TN |
1 |
| 1619258308 |
Medicaid |
none |
VA |
1 |
Phone Numbers
| Type |
Number |
| Mailing Address Telephone Number |
8653306320 |
| Practice Location Address Telephone Number |
8653306320 |
| Authorized Official Telephone Number |
8653306320 |
| Mailing Address Fax Number |
8653306323 |
| Practice Location Address Fax Number |
8653306323 |
Addresses
| Type |
Address |
City |
State |
Postal |
Country |
| Mailing Address |
818 SUNSET DR |
JOHNSON CITY |
TN |
37604 |
TN |
| Practice Location Address |
818 SUNSET DR SUITE 103 |
JOHNSON CITY |
TN |
37604 |
TN |
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