Organization
EMMAUS COMMUNITY HEALTHCARE, PLLC
Active
Other names
DBA: Piney Flats Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L BACKUS III DO (AUTHORIZED OFFICIAL)
(423) 538-5202
Entity
Organization
Contact information
Practice address
6419 BRISTOL HIGHWAY, PINEY FLATS, TN 37686
(423) 538-5202
(423) 538-8208
Mailing address
509 MEDTECH PKWY, JOHNSON CITY, TN 37604
(423) 952-2122
(423) 952-2145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726460
—
TN
01
—
DD0861
RR
TN
Enumeration date
06/29/2006
Last updated
10/07/2025
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