Garik T Misenar, MD
Emergency Medicine in Johnson City, TN. Individual provider (NPI-1).
NPI number1619084639
StatusActive
Last updated in NPPESAug 7, 2020
Details
- NPI
- 1619084639
- Entity type
- Individual (NPI-1)
- Name
- Garik T Misenar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2006
- Certification date
- Aug 7, 2020
- Last updated
- Aug 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD39742 | TN | Yes |
| 207P00000X | Emergency Medicine | 0101242546 | VA |
Practice location
400 N State Of Franklin RdJohnson City, TN 37604-6035
Phone 423-926-6266 · Fax 423-926-7599
Mailing address
Po Box 5576Johnson City, TN 37602-5576
Phone 423-926-6266 · Fax 423-926-7599
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All 38 Emergency Medicine Physician providers in Johnson City · All 4,629 providers in Johnson City
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