Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Living Water Vein Institute, PC

Organization Cardiovascular Disease Physician · NPI 1134782170

Living Water Vein Institute, PC provides Cardiovascular Disease Physician services in Johnson City, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2800 Peoples St Ste 80
Johnson City, TN 37604-4158
Phone: (423) 631-0101
Fax: (423) 328-9027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1134782170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Berry — Medical Director · (423) 631-0101
NPI enumeratedApril 16, 2019
Last updated in NPPESAugust 19, 2019
Mailing address2800 Peoples St Ste 80, Johnson City, TN 37604-4158

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