East Tennessee Medical Associates, P.C.
Internal Medicine, Nephrology in Johnson City, TN. Organization (NPI-2).
NPI number1619089034
StatusActive
Last updated in NPPESAug 21, 2026
Details
- NPI
- 1619089034
- Entity type
- Organization (NPI-2)
- Legal business name
- East Tennessee Medical Associates, P.C.
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Certification date
- Aug 21, 2026
- Last updated
- Aug 21, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | MD6775 | TN | Yes |
Practice location
107 Woodlawn DrJohnson City, TN 37604-5978
Phone 423-929-7158 · Fax 423-928-9625
Mailing address
107 Woodlawn DrJohnson City, TN 37604-6287
Phone 423-929-7158 · Fax 423-928-9625
Authorized official
Melissa Ann Owens
Practice Manager
4239297158
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