Whalio Doctors

NPI 1073064333

Mountain States Health Alliance

Organisation Children's Hospital Johnson City, TN

Practice location

Address
400 N St of Franklin Rd, Johnson City, TN 37604
Phone
(423) 431-5339
Mailing address
400 N State of Franklin Rd, Johnson City, TN 37604-6035

Authorised official

Name
Sandra Castro
Title
Medical Director
Phone
(423) 431-5339

Registered specialties

Children's Hospital Primary
Hospitals Taxonomy 282NC2000X Licence 21920 (TN)

Registry record

NPI
1073064333
Entity type
Organization
NPI issued
20 Oct 2016
Record last updated
20 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.