# GASTROINTESTINAL ASSOCIATES OF NORTHEAST TENNESSEE, PC

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

## Provider details

- **NPI number:** 1578529632
- **Authorized official:** MS. PENNY B RUTLEDGE FACMPE, MPH (ADMINISTRATOR)
- **Authorized official phone:** (423) 929-7111

## Contact information

- **Practice address:** 310 N STATE OF FRANKLIN RD, SUITE 202, JOHNSON CITY, TN 37604-6008
- **Practice address phone:** (423) 929-7111
- **Practice address fax:** (423) 929-9448
- **Mailing address:** 310 N STATE OF FRANKLIN RD, SUITE 202, JOHNSON CITY, TN 37604-6008
- **Mailing address phone:** (423) 929-7111
- **Mailing address fax:** (423) 929-9448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | TN | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 08/22/2020