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)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