Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | 2526 | TN |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 18293 | TN |
NPI | 1013073592 |
---|---|
Provider Name | Mr. Seth M Mclaughlin |
First Address | Johnson City, TN 37604-2391 |
Second Address | Johnson City, TN 37604-2391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 16/01/2014 |