Emmaus Community Healthcare, Pllc

NPI 1356379093 - General Practice - 208D00000X

NPI Details
NPI 1356379093
Enumeration Date 06/29/2006
Last Updated 04/13/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES L CHARLES
Position AUTHORIZED OFFICIAL
Phone (423) 538-5202
Fax (423) 538-8208
Practice Location
6419 BRISTOL HIGHWAY
PINEY FLATS TN, 37686, US
Phone (423) 538-5202
Fax (423) 538-8208
Business Location
509 MEDTECH PKWY
JOHNSON CITY TN, 37604, US
Phone (423) 952-2122
Fax (423) 926-7599
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Emmaus Community Healthcare, Pllc NPI is 1356379093, taxonomy code is 208D00000X Emmaus Community Healthcare, Pllc physically located at 6419 Bristol Highway, Piney Flats TN, 37686. NPI Number 1033115704 has the healthcare provider type.

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1356379093 NPI number is provided on an as is basis without warranty of any kind. 1356379093 is maintained by the National Plan & Provider Enumeration System. The contents of Emmaus Community Healthcare, Pllc are for informational purposes only.