Johnson City Urological Clinic, P.C. in Johnson City - Pediatric Urology
Johnson City Urological Clinic, P.C. - NPI 1578689253
Johnson City Urological Clinic, P.C. is a Pediatric Urology in Johnson City, Tennessee. Johnson City Urological Clinic, P.C. practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Johnson City Urological Clinic, P.C. is 1578689253. The last update date is 2009-08-19.
Johnson City Urological Clinic, P.C.'s current location address is 2340 Knob Creek Road, Johnson City, Tennessee. You can contact this provider via phone number 4239266112 and fax number 4234340278. The mailing address for Johnson City Urological Clinic, P.C. is 2340 Knob Creek Road, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Johnson City Urological Clinic, P.C. |
|---|---|
| Address | 2340 Knob Creek Road, Johnson City, Tennessee |
| Phone Number | 4239266112 |
| Fax Number | 4234340278 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Taylor D Grant |
| Credentials | M.D. |
| Telephone Number | 4239266112 |
NPI Number Detail
| NPI Number | 1578689253 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2009-08-19 |
Provider Mailing Address Detail
| Address | 2340 Knob Creek Road |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376042977 |
| Phone Number | 4239266112 |
| Fax Number | 4234340278 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
|
Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3172410 | TN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Johnson City Urological Clinic, P.C. by the Centers for Medicare & Medicaid Services?
The Johnson City Urological Clinic, P.C. has been issued the NPI (National Provider Identifier) 1578689253. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Johnson City Urological Clinic, P.C. is physically located?
The Johnson City Urological Clinic, P.C. is situated at the following address: 2340 Knob Creek Road, Johnson City, TN 376042977.
What is Johnson City Urological Clinic, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Johnson City Urological Clinic, P.C.'s area of specialization is Pediatric Urology, and the corresponding taxonomy code that categorizes this field of practice is 2088P0231X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578689253 to Johnson City Urological Clinic, P.C.?
The Johnson City Urological Clinic, P.C. received its 1578689253 assignment from the Centers for Medicare & Medicaid Services on 2007-03-22.
As of what date were the details related to Johnson City Urological Clinic, P.C. most recently updated or revised?
The information pertaining to Johnson City Urological Clinic, P.C., including its address, specialty, and other relevant details, was last updated or revised on 2009-08-19.
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