PODIATRIC CLINICS OF NORTHEAST TN NPI 1619525961

NPI Information

NPI: 1619525961
Provider Name: PODIATRIC CLINICS OF NORTHEAST TN
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1303 SUNSET DR STE 6
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 232-1771
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PODIATRIC CLINICS OF NORTHEAST TN is a foot and ankle surgery podiatrist in Johnson City, TN. PODIATRIC CLINICS OF NORTHEAST TN NPI is 1619525961. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1303 SUNSET DR STE 6
JOHNSON CITY, TN
ZIP 37604-905
Phone: (423) 232-1771
Fax: (423) 929-0328

The provider's authorized official is Sallee Randolph .
The authorized official title is Associate and has the following contact phone number (423) 232-1771.

The enumeration date for this NPI number is 8/29/2019 and was last updated on 8/29/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

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

NPI Synchronization or Removal

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