Endoscopy Center of Northeast Tennessee, PC
NPI #1164488219 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1164488219
- Entity Type
- Organization
- Organization Name
- Endoscopy Center of Northeast Tennessee, PC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 310 N STATE OF FRANKLIN RD
- Address 2
- SUITE 202
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6008
- Phone
- (423) 929-7111
Authorized Official
- Name
- MS. PENNY B RUTLEDGE, FACMPE, MPH
- Title
- FACILITY ADMINISTRATOR
- Phone
- (423) 929-7111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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