Johnson City Urological Clinic, P.C.

LBN: Johnson City Urological Clinic, P.C.
Johnson City Urological Clinic, P.C. is an health care organization with primary practice located at 2340 Knob Creek Road Suite 720, Johnson City TN 37604-2977. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as the primary health care specialty. Johnson City Urological Clinic, P.C. can be contacted via phone (423) 926-6112, or through Taylor, Grant D via phone (423) 926-6112.

Contact Information

Primary practice address
2340 Knob Creek Road Suite 720 Johnson City TN 37604-2977
Phone: (423) 926-6112
Fax: (423) 434-0278
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Grant D Doctor of Medicine (MD)
Phone: (423) 926-6112

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1578689253
LBN Legal business name Johnson City Urological Clinic, P.C.
DBA Doing business as
Authorized official Taylor, Grant D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Aug 19th, 2009 - about 17 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 1578689253 NPPES
Tennessee MEDICAID 3172410

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