Organization
WATAUGA ORTHOPAEDICS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ELIZABETH LYONS (CREDENTIALING SPECIALIST)
(423) 282-9011
Entity
Organization
Contact information
Practice address
1132 ERWIN HWY, GREENEVILLE, TN 37745-4405
(423) 282-9011
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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