Organization
ADULT AND GERIATRIC PSYCHIATRY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO BENDFELDT MD (PHYSICIAN)
(423) 283-8801
Entity
Organization
Contact information
Practice address
1618 STRAWBERRY LN, JOHNSON CITY, TN 37604-7700
(423) 677-6787
Mailing address
101 MED TECH PKWY STE 407, JOHNSON CITY, TN 37604-4000
(423) 283-8801
(423) 282-4533
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MD19195
TN
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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