Perry Jernigan in Johnson City - Diagnostic Radiology

Perry Jernigan - NPI 1164473005

Perry Jernigan is a Diagnostic Radiology in Johnson City, Tennessee. Perry Jernigan practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Perry Jernigan is 1164473005. The last update date is 2007-07-08.

Perry Jernigan's current location address is 1301 Sunset Dr, Johnson City, Tennessee. You can contact this provider via phone number 4239264966 and fax number 4239261823. The mailing address for Perry Jernigan is 1301 Sunset Dr, Johnson City, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Perry Jernigan
Address 1301 Sunset Dr, Johnson City, Tennessee
Phone Number 4239264966
Fax Number 4239261823
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1164473005
Provider Enumeration Date 2006-05-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1301 Sunset Dr
City Johnson City
State Tennessee (TN)
Post Code 376047906
Phone Number 4239264966
Fax Number 4239261823

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 30603
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3828412 TN --
64305642 KY KENTUCKY MEDICAID
7222688 VI VIRGINIA MEDICAID
3098340 TN BCBS
89063JH NC NORTH CAROLINA MEDICAID

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FAQs about Perry Jernigan

What is the unique 10-digit identification code issued to Perry Jernigan by the Centers for Medicare & Medicaid Services?

The Perry Jernigan has been assigned the NPI (National Provider Identifier) 1164473005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Perry Jernigan is physically located?

The Perry Jernigan is situated at the following address: 1301 Sunset Dr, Johnson City, TN 376047906.

What is Perry Jernigan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Perry Jernigan is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

When was the Perry Jernigan's 1164473005 issued?

The Perry Jernigan's 1164473005 was issued on 2006-05-15.

When was the Perry Jernigan's information last updated?

The Perry Jernigan's information was last updated on 2007-07-08.

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