Plastic And Reconstructive Surgery Pc

LBN: Plastic And Reconstructive Surgery Pc
Plastic And Reconstructive Surgery Pc is an health care organization with primary practice located at 1303 Sunset Dr Ste 5 , Johnson City TN 37604-7905. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Plastic And Reconstructive Surgery Pc can be contacted via phone (423) 328-9000, or through Webb, Laurie P via phone (423) 328-9000.

Contact Information

Primary practice address
1303 Sunset Dr Ste 5 Johnson City TN 37604-7905
Phone: (423) 328-9000
Fax: (423) 328-9007
Website:
Map and Directions
Authorized official contact:
Name: Webb, Laurie P DELEGATED OFFICIAL
Phone: (423) 328-9000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X MD0000025117 Tennessee

Profile Details

NPI number 1215167580
LBN Legal business name Plastic And Reconstructive Surgery Pc
DBA Doing business as
Authorized official Webb, Laurie P DELEGATED OFFICIAL
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2009
Last updated Nov 13th, 2019 - about 6 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 1215167580 NPPES
Tennessee MEDICAID 3081165

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