Pma Surgery Center Llc in Johnson City - Psychologist
Pma Surgery Center Llc - NPI 1548422355
Pma Surgery Center Llc is a Psychologist in Johnson City, Tennessee. Pma Surgery Center Llc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Pma Surgery Center Llc is 1548422355. The last update date is 2008-07-02.
Pma Surgery Center Llc's current location address is 101 Med Tech Pkwy, Johnson City, Tennessee. You can contact this provider via phone number 4232329420 and fax number 4232329425. The mailing address for Pma Surgery Center Llc is 101 Med Tech Pkwy, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pma Surgery Center Llc |
|---|---|
| Address | 101 Med Tech Pkwy, Johnson City, Tennessee |
| Phone Number | 4232329420 |
| Fax Number | 4232329425 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Williams Turney William |
| Credentials | MD |
| Telephone Number | 4232326120 |
NPI Number Detail
| NPI Number | 1548422355 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | 101 Med Tech Pkwy |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376044007 |
| Phone Number | 4232329420 |
| Fax Number | 4232329425 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100048318 | TN | PHP TENNCARE | |
| 7949702 | TN | AETNA | |
| 3288982 | TN | -- | |
| 702040581 | CARITEN | ||
| 604059200 | US DEPT OF LABOR | ||
| P00188946 | MEDICARE RAILROAD | ||
| TN010 | UNITED HEALTHCARE OF THE NEW R | ||
| 4097786 | BLUE CROSS BLUE SHIELD |
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What is the unique identification code assigned to Pma Surgery Center Llc by the Centers for Medicare & Medicaid Services?
The Pma Surgery Center Llc has been issued the NPI (National Provider Identifier) 1548422355. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Pma Surgery Center Llc is physically located?
The Pma Surgery Center Llc is physically situated at the following address: 101 Med Tech Pkwy, Johnson City, TN, 376044007.
What is Pma Surgery Center Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Pma Surgery Center Llc is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
When was the Pma Surgery Center Llc's 1548422355 issued?
The Pma Surgery Center Llc's 1548422355 was issued on 2008-07-02.
As of what date were the Pma Surgery Center Llc's details last updated?
The information pertaining to the Pma Surgery Center Llc, including its address, specialty, and other details, was most recently updated on 2008-07-02.