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Tavis Clonch, P.A
NPI 1629752514 · on the registry since 2023
Practice
- Address
- 701 Med Tech Pkwy Ste 300
Johnson City, TN 37604 - Phone
- (423) 232-8301
- Fax
- (423) 232-8304
- Organisation at this address
- Alliance Anesthesia Pllc
Wellmont Medical Associates, Inc.
East Tennessee Anesthesia Services. Llc
East Tennessee Brain & Spine Center, Pc
East Tennessee Anesthesia Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 46
Additional practice sites
- 1 Medical Park Blvd Ste 300e, Bristol, TN
- 444 Clinchfield St Ste 103, Kingsport, TN
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- TN, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee