NPI 1366452914

East Tennessee Brain & Spine Center, PC

Organisation Neurological Surgery Physician Johnson City, TN

Practice location

Address: 701 Med Tech Pkwy Suite 300, Johnson City, TN 37604-2365
Phone: (423) 232-8301
Fax: (423) 232-8304
Mailing address: PO Box 9150, Paducah, KY 42002-9150

Authorised official

Name: David A. Wiles
Title: President
Phone: (423) 232-8301

Registered specialties (4)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Tennessee →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

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Adult Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X

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Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Registry record

NPI: 1366452914
Entity type: Organization
NPI issued: 8 Aug 2006
Record last updated: 6 Jun 2012

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.