Individual
JOSHUA MICHAEL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 N. STATE OF FRANKLIN ROAD, GROUND FLOOR, JOHNSON CITY, TN 37604
(423) 439-7320
(423) 439-7343
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
31732
SC
208000000X
Pediatrics Physician
46043
KY
208000000X
Pediatrics Physician
Primary
54572
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326274929
—
VA
05
—
201281690
—
IN
05
—
317320
—
SC
05
—
7100332640
—
KY
05
—
Q023478
—
TN
Enumeration date
06/09/2009
Last updated
01/18/2024
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