FOUNDATION MEDICAL, INC. is an addiction medicine family medicine in Johnson City, TN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. FOUNDATION MEDICAL, INC. NPI is 1336636158. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1730 OLD GRAY STATION RD
JOHNSON CITY, TN
ZIP 37615-869
Phone: (423) 202-3008
Fax: (423) 202-7835
The provider's authorized official is Jennifer Teague Good .
The authorized official title is Facility Director/owner and has the following contact phone number (423) 202-3008.
The CLIA number assigned to this NPI record is 44D2241929 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/17/2018 and was last updated on 7/24/2019.