East Tennessee Brain & Spine Center, Pc

NPI 1366452914 - Physician Assistant - 363AS0400X

NPI Details
NPI 1366452914
Enumeration Date 08/08/2006
Last Updated 06/06/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID A. DAVID
Position PRESIDENT
Phone (423) 232-8301
Fax (423) 232-8304
Practice Location
701 MED TECH PKWY
SUITE 300
JOHNSON CITY TN, 37604-2365, US
Phone (423) 232-8301
Fax (423) 232-8304
Business Location
PO BOX 9150
PADUCAH KY, 42002-9150, US
Phone (270) 744-9600
Fax (270) 744-0834
Toxanomy
Taxonomy Code 363AS0400X
License State
License Number
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According to our database, East Tennessee Brain & Spine Center, Pc NPI is 1366452914, taxonomy code is 363AS0400X East Tennessee Brain & Spine Center, Pc physically located at 701 Med Tech Pkwy, Johnson City TN, 37604-2365. NPI Number 1033115704 has the healthcare provider type.

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1366452914 NPI number is provided on an as is basis without warranty of any kind. 1366452914 is maintained by the National Plan & Provider Enumeration System. The contents of East Tennessee Brain & Spine Center, Pc are for informational purposes only.