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Health Care Provider
Public Health or Welfare Agency in Johnson City, Tennessee
NPI 1568640456

Health Care Provider is a Public Health or Welfare Agency based in Johnson City, TN. Health Care Provider practices in Johnson City, TN. The NPI Number for Health Care Provider is 1568640456 and holds a License No. 144981 (Tennessee).

The current practice location address for Health Care Provider is 415 State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-975-2200.

Location: 415 State Of Franklin Rd, Johnson City, TN, 37604-6034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568640456
Provider Name
Health Care Provider
Credential
Provider Entity Type
Organization
Address
415 State Of Franklin Rd, Johnson City, TN, 37604-6034
Phone Number
423-975-2200
Fax Number
Provider Enumeration Date
02/04/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
415 State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6034
Phone Number
423-975-2200
Fax Number
person
Provider Business Mailing Address Details
Address
415 State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6034
Phone Number
423-975-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
144981 (Tennessee)
Definition
Definition to come...
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