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RAY W. METTETAL JR. M.D. INC. NPI 1043451578


NPI Information

NPI: 1043451578
Provider Name: RAY W. METTETAL JR., M.D. INC.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
329 WESLEY ST STE 4
JOHNSON CITY, TN
ZIP 37601
Phone: (423) 282-5411
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RAY W. METTETAL JR., M.D. INC. is a medical specialty clinic center in Johnson City, TN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). RAY W. METTETAL JR., M.D. INC. NPI is 1043451578. The provider is registered as an organization entity type.

The provider's business location address is:

329 WESLEY ST STE 4
JOHNSON CITY, TN
ZIP 37601-721
Phone: (423) 282-5411
Fax: (423) 282-5951

The provider's authorized official is Ray Wallace Mettetal .
The authorized official title is President/owner and has the following contact phone number (423) 341-7538.

The enumeration date for this NPI number is 3/12/2009 and was last updated on 3/12/2009.


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
1261QM2500XClinic/CenterMedical SpecialtyMD 10753TENNESSEEYes

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: 4/28/2024

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