Bulk check

Charles David Anderson, PA-C

Physician Assistant in Johnson City, TN. Individual provider (NPI-1).

NPI number1992775282
StatusActive
Last updated in NPPESMar 26, 2008

Details

NPI
1992775282
Entity type
Individual (NPI-1)
Name
Charles David Anderson
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Jan 26, 2006
Last updated
Mar 26, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant147TNYes

Practice location

3 Professional Park Dr
Suite 21
Johnson City, TN 37604-6529

Phone 423-434-6300 · Fax 423-434-6312

Mailing address

3 Professional Park Dr
Suite 21
Johnson City, TN 37604-6529

Phone 423-434-6300 · Fax 423-434-6312

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Johnson City, TN

All 100 Physician Assistant providers in Johnson City · All 4,629 providers in Johnson City

Checking a whole list?

Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check