Paul Diers is a Physician Assistant in Kingsport, Tennessee. Paul Diers practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paul Diers is 1124060140. The last update date is 2012-05-02.
Paul Diers's current location address is 2202 John B Dennis Hwy, Kingsport, Tennessee. You can contact this provider via phone number 4232453161 and fax number 4238578129. The mailing address for Paul Diers is 2202 John B Dennis Hwy, Kingsport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Diers |
|---|---|
| Address | 2202 John B Dennis Hwy, Kingsport, Tennessee |
| Phone Number | 4232453161 |
| Fax Number | 4238578129 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1124060140 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2012-05-02 |
Provider Mailing Address Detail
| Address | 2202 John B Dennis Hwy |
|---|---|
| City | Kingsport |
| State | Tennessee (TN) |
| Post Code | 37660 |
| Phone Number | 4232453161 |
| Fax Number | 4238578129 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA000243 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA000243 | TN | LICENSE | |
| 3669582 | TN | -- | |
| 8929785 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul Diers by the Centers for Medicare & Medicaid Services?
The Paul Diers has been issued the NPI (National Provider Identifier) 1124060140 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Paul Diers is located?
The Paul Diers is situated at the following address: 2202 John B Dennis Hwy, Kingsport, TN, 37660.
What is Paul Diers's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Paul Diers is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did Paul Diers receive its 1124060140 assignment from the Centers for Medicare & Medicaid Services?
The Paul Diers was assigned its 1124060140 on 2006-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Paul Diers most recently updated?
The details pertaining to the Paul Diers, including its address, specialty, and other relevant information, were last refreshed on 2012-05-02.