# ADVOCATE INTEGRATED MEDICAL

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

## Provider details

- **NPI number:** 1720854037
- **Authorized official:** MRS. SHERRY CARDEN (OFFICE MANAGER)
- **Authorized official phone:** (423) 388-3643

## Contact information

- **Practice address:** 215 E WATAUGA AVE STE 100, JOHNSON CITY, TN 37601-4629
- **Practice address phone:** (423) 388-3643
- **Practice address fax:** (423) 388-3561
- **Mailing address:** 215 E WATAUGA AVE STE 100, JOHNSON CITY, TN 37601-4629
- **Mailing address phone:** (423) 388-3643
- **Mailing address fax:** (423) 388-3561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023