Colon And Rectal Surgery Consultants, Pc

LBN: Colon And Rectal Surgery Consultants, Pc
Colon And Rectal Surgery Consultants, Pc is an health care organization with primary practice located at 1321 Sunset Dr Suite 22, Johnson City TN 37604-3698. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Colon And Rectal Surgery Consultants, Pc can be contacted via phone (423) 610-1177, or through Pennington, Connie J via phone (423) 610-1177.

Contact Information

Primary practice address
1321 Sunset Dr Suite 22 Johnson City TN 37604-3698
Phone: (423) 610-1177
Fax: (423) 610-1179
Website:
Map and Directions
Authorized official contact:
Name: Pennington, Connie J Doctor of Medicine (MD)
Phone: (423) 610-1177

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD0000030358 Tennessee

Profile Details

NPI number 1215145974
LBN Legal business name Colon And Rectal Surgery Consultants, Pc
DBA Doing business as
Authorized official Pennington, Connie J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Apr 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215145974 NPPES
Tennessee MEDICAID 3370584

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