# MEDICAL SPECIALISTS OF JOHNSON CITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083931539
- **Authorized official:** AMANDA CLEAR (DIRECTOR OF BUSINESS SERVICES)
- **Authorized official phone:** (423) 794-2450

## Contact information

- **Practice address:** 2528 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1766
- **Practice address phone:** (423) 794-2450
- **Mailing address:** 2528 WESLEY ST STE 2, JOHNSON CITY, TN 37601-1766
- **Mailing address phone:** (423) 794-2450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/23/2010