BOONES CREEK MEDICAL PLLC NPI 1871528976

NPI Information

BOONES CREEK MEDICAL PLLC is a family medicine in Johnson City, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOONES CREEK MEDICAL PLLC NPI is 1871528976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2685 BOONES CREEK ROAD
SUITE 104
JOHNSON CITY, TN
ZIP 37615
Phone: (423) 282-0636
Fax: (423) 282-1990

The provider's authorized official is Amber F Wilkinson .
The authorized official title is Owner/administrator and has the following contact phone number (423) 282-0636.

The CLIA number assigned to this NPI record is 44D2171896 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 2/13/2020.

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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