Imperial Healthcare Services

NPI #1033410220 in Johnson City, Tennessee

Provider Information

NPI Number
1033410220
Entity Type
Organization
Organization Name
Imperial Healthcare Services
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Nov 4, 2010
Last Updated
Nov 4, 2010

Practice Location

Address
1604 LAMONS LN STE 230
ZIP Code
37604-8224
Phone
(423) 930-5168

Authorized Official

Name
MS. RENEE R BUCKLES, FNP
Title
VICE PRESIDENT
Phone
(423) 930-5168

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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