Connie R Stoots, MD
Family Medicine in Johnson City, TN. Individual provider (NPI-1).
NPI number1760675474
StatusActive
Last updated in NPPESFeb 21, 2025
Details
- NPI
- 1760675474
- Entity type
- Individual (NPI-1)
- Name
- Connie R Stoots
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 26, 2007
- Certification date
- Feb 21, 2025
- Last updated
- Feb 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 44523 | TN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
301 Med Tech Pkwy Ste 120Johnson City, TN 37604
Phone 423-794-5590 · Fax 423-794-5877
Mailing address
Po Box 632476Cincinnati, OH 45263-2476
Phone 423-794-5590 · Fax 423-794-5877
Other practice locations
314 Rogosin Dr
Elizabethton, TN 37643-2904
Elizabethton, TN 37643-2904
Phone 423-433-6630 · Fax 423-232-8574
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