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ADVOCATE INTEGRATED MEDICINE NPI 1588228712


NPI Information

NPI: 1588228712
Provider Name: ADVOCATE INTEGRATED MEDICINE
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Organization

Specialization: Sports Medicine

CLIA Number: 44D2171165

Address:
215 E WATAUGA AVE STE 100
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 388-3643
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ADVOCATE INTEGRATED MEDICINE is a sports medicine physical medicine rehabilitation in Johnson City, TN. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. ADVOCATE INTEGRATED MEDICINE NPI is 1588228712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

215 E WATAUGA AVE STE 100
JOHNSON CITY, TN
ZIP 37601-629
Phone: (423) 388-3643
Fax: (423) 388-3561

The provider's authorized official is Cindy Ann Dunne .
The authorized official title is Ceo and has the following contact phone number (423) 388-3643.

The CLIA number assigned to this NPI record is 44D2171165 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2019 and was last updated on 4/23/2019.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081S0010XPhysical Medicine & RehabilitationSports MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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