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Harold Lance Debord, PA

Physician Assistant in Johnson City, TN. Individual provider (NPI-1).

NPI number1366413874
StatusActive
Last updated in NPPESNov 6, 2026

Details

NPI
1366413874
Entity type
Individual (NPI-1)
Name
Harold Lance Debord
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Feb 1, 2006
Certification date
Nov 6, 2026
Last updated
Nov 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1316TNYes
363A00000X Physician Assistant0110002182VA

Practice location

4100 N Roan St
Johnson City, TN 37601-1131

Phone 423-268-2606 · Fax 423-268-2608

Mailing address

4100 N Roan St Ste 3
Johnson City, TN 37601-1134

Phone 423-268-2606 · Fax 423-268-2608

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