Mccormick, Mary Russell

Mccormick, Mary Russell is an sole proprietor health care provider with primary practice located at 3019 Peoples St # Condo300 , Johnson City TN 37604-1977. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mccormick, Mary Russell can be contacted via phone (423) 461-2100.

Contact Information

Primary practice address
3019 Peoples St # Condo300 Johnson City TN 37604-1977
Phone: (423) 461-2100
Fax: (423) 461-2199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD48521 Tennessee

Profile Details

NPI number 1568693133
LBN Legal business name Mccormick, Mary Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2009
Last updated Mar 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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