Heather Carlson Justice in Kingsport - Physician Assistant
Heather Carlson Justice - NPI 1811182710
Heather Carlson Justice is a Physician Assistant in Kingsport, Tennessee. Heather Carlson Justice practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Heather Carlson Justice is 1811182710. The last update date is 2016-01-07.
Heather Carlson Justice's current location address is 105 W Stone Dr, Kingsport, Tennessee. You can contact this provider via phone number 4234087220 and fax number 4234087405. The mailing address for Heather Carlson Justice is 105 W Stone Dr, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Carlson Justice |
|---|---|
| Address | 105 W Stone Dr, Kingsport, Tennessee |
| Phone Number | 4234087220 |
| Fax Number | 4234087405 |
| Sole Proprietor | N |
| Credentials | MSPAP, PA- |
NPI Number Detail
| NPI Number | 1811182710 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2016-01-07 |
Provider Mailing Address Detail
| Address | 105 W Stone Dr |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 376603365 |
| Phone Number | 4234087220 |
| Fax Number | 4234087405 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA05331 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Heather Carlson Justice by the Centers for Medicare & Medicaid Services?
The Heather Carlson Justice has been assigned the NPI (National Provider Identifier) 1811182710 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Heather Carlson Justice is physically located?
The Heather Carlson Justice is physically situated at the following address: 105 W Stone Dr, Kingsport, TN, 376603365.
What is Heather Carlson Justice's area of expertise and its corresponding taxonomy classification?
The Heather Carlson Justice's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Heather Carlson Justice receive the assignment of its 1811182710 from the Centers for Medicare & Medicaid Services?
The Heather Carlson Justice was issued its 1811182710 by the Centers for Medicare & Medicaid Services on 2007-09-13.
When was the Heather Carlson Justice's information last updated?
The Heather Carlson Justice's information was last updated on 2016-01-07.
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