East Tennessee State University
East Tennessee State University provides Family Medicine Physician services in Johnson City, Tennessee. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1081 John Robert Bell Dr Rm W-127Johnson City, TN 37614
Phone: (972) 367-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1285264531 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mouzon Bass — Administrator/Agent · (972) 367-4845 |
| Other names | Etsu Sports Medicine; Etsu Sports Medicine |
| NPI enumerated | January 24, 2020 |
| Last updated in NPPES | December 17, 2021 |
| Certification date | December 17, 2021 |
| Mailing address | 15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415 |
Other providers in Johnson City
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David T Deroos, DO
205 Summer Rose Ln, Johnson City, TN 37601-5356 · (704) 658-8727
-
Margaret Claire Deroos, DO
205 Summer Rose Ln, Johnson City, TN 37601-5356 · (256) 226-0236
-
Anna Lynn Dunn, DO
301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 · (423) 794-5520
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East Tennessee Neuropathy, PC
818 Sunset Dr Ste 103, Johnson City, TN 37604-8310 · (423) 794-3142
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Douglas Edema
1021 W Oakland Ave Ste 207, Johnson City, TN 37604-2191 · (423) 915-5116
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Dr. Jeremy Nathan Elliott, DO
301 Med Tech Pkwy Ste 240, Johnson City, TN 37604-2641 · (423) 794-5520
-
Dr. David Keith Emerine, DO
1021 W Oakland Ave Ste 301, Johnson City, TN 37604-2192 · (423) 952-8000
-
Ashlyn Fadial
809 Lamont St, Johnson City, TN 37604-5453 · (423) 926-1171