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Paul B Landry III, PAC
Surgical Physician Assistant in Johnson City, Tennessee
NPI 1477599892

Paul B Landry III is a Surgical Physician Assistant based in Johnson City, TN and is specialized in Surgical. Paul B Landry III practices in Johnson City, TN and has the professional credentials of PAC. The NPI Number for Paul B Landry III is 1477599892 and holds a License No. 1603 (Tennessee).

The current practice location address for Paul B Landry III is 310 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-929-7393 and via fax at 423-929-0872.

Location: 310 N State Of Franklin Rd, Johnson City, TN, 37604-6008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477599892
Provider Name
Paul B Landry III
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
310 N State Of Franklin Rd, Johnson City, TN, 37604-6008
Phone Number
423-929-7393
Fax Number
423-929-0872
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477599892 05 VA
1506078 05 TN
TN01 UW 01 TN JOHN DEERE
4190518 01 TN BC/BS
7100095460 05 KY
P00686005 01 TN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
310 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6008
Phone Number
423-929-7393
Fax Number
423-929-0872
person
Provider Business Mailing Address Details
Address
310 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6008
Phone Number
423-929-7393
Fax Number
423-929-0872
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
1603 (Tennessee)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
1603 (Tennessee)
Definition
Definition to come...
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