Paul B Landry III, PAC
Physician Assistant in Johnson City, TN. Individual provider (NPI-1).
NPI number1477599892
StatusActive
Last updated in NPPESFeb 15, 2017
Details
- NPI
- 1477599892
- Entity type
- Individual (NPI-1)
- Name
- Paul B Landry III
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2006
- Last updated
- Feb 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1603 | TN | Yes |
| 363AS0400X | Physician Assistant, Surgical | 1603 | TN |
Practice location
310 N State Of Franklin RdSuite 101
Johnson City, TN 37604-6008
Phone 423-929-7393 · Fax 423-929-0872
Mailing address
310 N State Of Franklin RdSuite 101
Johnson City, TN 37604-6008
Phone 423-929-7393 · Fax 423-929-0872
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All 100 Physician Assistant providers in Johnson City · All 4,629 providers in Johnson City
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