Organization
WATAUGA ORTHOPAEDICS, PLC
Active
Other names
Watauga Orthopaedics of Kingsport
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY HARRIS (BILLING MANAGER)
(423) 282-9582
Entity
Organization
Contact information
Practice address
875 LARRY NEIL WAY, KINGSPORT, TN 37601
(423) 282-9011
(423) 282-0035
Mailing address
2410 SUSANNAH STREET, JOHNSON CITY, TN 37601
(423) 282-9011
(423) 282-0035
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
TN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3706248
—
TN
Enumeration date
03/16/2011
Last updated
06/26/2024
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