NPI 1568640456
Health Care Provider
Practice location
- Address
- 415 State of Franklin Rd, Johnson City, TN 37604-6034
- Phone
- (423) 975-2200
Authorised official
- Name
- Lorinda Cooter Davis
- Title
- RN 2
- Phone
- (423) 975-2200
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1568640456
- Entity type
- Organization
- NPI issued
- 4 Feb 2008
- Record last updated
- 4 Feb 2008
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.