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Organization
JOHNSON CITY EMERGENCY PHYSICIANS, PC
Active
Organization
JOHNSON CITY EMERGENCY PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MICHEAL HYDER (PRACTICE ADMINISTRATOR)
(423) 926-6266
Entity
Organization
Contact information
Practice address
1319 SUNSET DR, SUITE 201, JOHNSON CITY, TN 37604-3799
(423) 926-6266
(423) 926-7599
Mailing address
PO BOX 5576, JOHNSON CITY, TN 37602-5576
(423) 926-6266
(423) 926-7599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3712683
—
TN
01
—
CC3910
RAILROAD MEDICARE
—
Enumeration date
07/28/2006
Last updated
11/05/2010
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