Organization
CASTLE CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C ALLEN MD (PRESIDENT)
(423) 979-6257
Entity
Organization
Contact information
Practice address
1416 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 979-6257
(423) 979-6285
Mailing address
1416 S ROAN ST, JOHNSON CITY, TN 37601-7332
(423) 979-6257
(423) 979-6285
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3721557
—
TN
Enumeration date
08/09/2006
Last updated
09/11/2025
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