Paul B Landry is a Surgical in Johnson City, Tennessee. Paul B Landry practices all healthcare services and medical treatments related to Surgical. The NPI Number for Paul B Landry is 1477599892. The last update date is 2017-02-15.
Paul B Landry's current location address is 310 N State Of Franklin Rd, Johnson City, Tennessee. You can contact this provider via phone number 4239297393 and fax number 4239290872. The mailing address for Paul B Landry is 310 N State Of Franklin Rd, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul B Landry |
|---|---|
| Address | 310 N State Of Franklin Rd, Johnson City, Tennessee |
| Phone Number | 4239297393 |
| Fax Number | 4239290872 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1477599892 |
|---|---|
| Provider Enumeration Date | 2006-06-22 |
| Last Updated Date | 2017-02-15 |
Provider Mailing Address Detail
| Address | 310 N State Of Franklin Rd |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376046008 |
| Phone Number | 4239297393 |
| Fax Number | 4239290872 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1603 |
|
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 |
|---|---|---|---|
| 1477599892 | VA | -- | |
| 1506078 | TN | -- | |
| TN01 UW | TN | JOHN DEERE | |
| 4190518 | TN | BC/BS | |
| 7100095460 | KY | -- | |
| P00686005 | TN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Paul B Landry?
The Paul B Landry has been issued the NPI (National Provider Identifier) 1477599892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Paul B Landry's facilities are situated?
The facilities of Paul B Landry are physically located at the following address: 310 N State Of Franklin Rd, Johnson City, TN, 376046008.
What is Paul B Landry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Paul B Landry is Surgical, and the taxonomy code that classifies this field of practice is 363As0400X.
When was the Paul B Landry's 1477599892 issued?
The Paul B Landry's 1477599892 was issued on 2006-06-22.
When was the Paul B Landry's information last updated?
The Paul B Landry's information was last updated on 2017-02-15.
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