Austin Coy Box, PA-C
Physician Assistant in Johnson City, TN. Individual provider (NPI-1).
NPI number1669833265
StatusActive
Last updated in NPPESDec 16, 2019
Details
- NPI
- 1669833265
- Entity type
- Individual (NPI-1)
- Name
- Mr. Austin Coy Box
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2016
- Certification date
- Dec 16, 2019
- Last updated
- Dec 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 363AS0400X | Physician Assistant, Surgical | – | – |
Practice location
2410 Susannah StreetJohnson City, TN 37601
Phone 423-282-9011 · Fax 423-722-0264
Mailing address
2410 Susannah StreetJohnson City, TN 37601
Phone 423-282-9011 · Fax 423-722-0264
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All 100 Physician Assistant providers in Johnson City · All 4,629 providers in Johnson City
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