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
- City
- Johnson City
- State
- Tennessee
- 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 Care — Primary Care |
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