East Tennessee Brain & Spine Center, Pc in Johnson City - Surgical
East Tennessee Brain & Spine Center, Pc - NPI 1366452914
East Tennessee Brain & Spine Center, Pc is a Surgical in Johnson City, Tennessee. East Tennessee Brain & Spine Center, Pc practices all healthcare services and medical treatments related to Surgical. The NPI Number for East Tennessee Brain & Spine Center, Pc is 1366452914. The last update date is 2012-06-06.
East Tennessee Brain & Spine Center, Pc's current location address is 701 Med Tech Pkwy, Johnson City, Tennessee. You can contact this provider via phone number 4232328301 and fax number 4232328304. The mailing address for East Tennessee Brain & Spine Center, Pc is 701 Med Tech Pkwy, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Tennessee Brain & Spine Center, Pc |
|---|---|
| Address | 701 Med Tech Pkwy, Johnson City, Tennessee |
| Phone Number | 4232328301 |
| Fax Number | 4232328304 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wiles A. David |
| Credentials | MD |
| Telephone Number | 4232328301 |
NPI Number Detail
| NPI Number | 1366452914 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2012-06-06 |
Provider Mailing Address Detail
| Address | 701 Med Tech Pkwy |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376042365 |
| Phone Number | 4232328301 |
| Fax Number | 4232328304 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4069221 | TN | BLUE CROSS/BLUE SHIELD | |
| 3721061 | TN | -- | |
| 1366452914 | VA | -- | |
| 5903904 | NC | -- | |
| 7100132610 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to East Tennessee Brain & Spine Center, Pc by the Centers for Medicare & Medicaid Services?
The East Tennessee Brain & Spine Center, Pc has been issued the NPI (National Provider Identifier) 1366452914 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where East Tennessee Brain & Spine Center, Pc is physically located?
The East Tennessee Brain & Spine Center, Pc is physically situated at the following address: 701 Med Tech Pkwy, Johnson City, TN, 376042365.
What is East Tennessee Brain & Spine Center, Pc's area of expertise and its corresponding taxonomy classification?
The East Tennessee Brain & Spine Center, Pc's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
When did East Tennessee Brain & Spine Center, Pc receive its 1366452914 assignment?
The East Tennessee Brain & Spine Center, Pc was assigned its 1366452914 on 2006-08-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding East Tennessee Brain & Spine Center, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to East Tennessee Brain & Spine Center, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-06-06.