COLON AND RECTAL SURGERY CONSULTANTS PC NPI 1215145974

NPI Information

COLON AND RECTAL SURGERY CONSULTANTS, PC is a specialist in Johnson City, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLON AND RECTAL SURGERY CONSULTANTS, PC NPI is 1215145974. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1321 SUNSET DR
SUITE 22
JOHNSON CITY, TN
ZIP 37604-698
Phone: (423) 610-1177
Fax: (423) 610-1179

The provider's authorized official is Connie J Pennington .
The authorized official title is President and has the following contact phone number (423) 610-1177.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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