Organization

East Tennessee Urologic Associates

Urology Physician in Johnson City, TN(View on Map)

Legal Business Name

East Tennessee Urologic Associates

NPI Number

1710936257

NPI Type

Organization

Enumeration Date

05/10/2006

Specialties

(Taxonomies)

Code

208800000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

508 PRINCETON RD
508 PRINCETON RD

City

Johnson City
Johnson City

State

TN
TN

Postal Code

37601-2060
37601-2060

Country

US
US

Telephone Number

(423) 928-0168
(423) 928-0168

Authorized Official

Name

Ms. Kay Jones

Title or Position

OFFICE MANAGER

Telephone Number

(423) 928-0168

Identifiers

Identifier

CF2875
3382693

Identifier State

TN
TN

Identifier Issuer

RAILROAD MEDICARE
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address

Other Urology Physician in Johnson City, Tennessee:

Organization

Urology Consultants, Inc.

Union City, TN

Specialty: Urology Physician (Primary)