Foundation Medical, Inc.
NPI #1336636158 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1336636158
- Entity Type
- Organization
- Organization Name
- Foundation Medical, Inc.
- Primary Specialty
- Family Medicine - Addiction Medicine
- Enumeration Date
- Apr 17, 2018
- Last Updated
- Jul 24, 2019
Practice Location
- Address
- 1730 OLD GRAY STATION RD
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37615-3869
- Phone
- (423) 202-3008
Authorized Official
- Name
- JENNIFER TEAGUE GOOD
- Title
- FACILITY DIRECTOR/OWNER
- Phone
- (423) 202-3008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
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