NPI 1215167580

Plastic and Reconstructive Surgery PC

Organisation Legal Medicine Johnson City, TN

Practice location

Address: 1303 Sunset Dr STE 5, Johnson City, TN 37604-7905
Phone: (423) 328-9000
Fax: (423) 328-9007

Authorised official

Name: Laurie P Webb
Title: Insurance Manager
Phone: (423) 328-9000

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence MD0000025117 (TN)

Other Legal Medicine providers in Tennessee →

Registry record

NPI: 1215167580
Entity type: Organization
NPI issued: 21 Jul 2009
Record last updated: 13 Nov 2019

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.