| Adult And Geriatric Psychiatry Service | |
|
1618 Strawberry Ln Johnson City TN 37604-7700 | |
| (423) 677-6787 | |
| Not Available |
| Full Name | Adult And Geriatric Psychiatry Service |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 1618 Strawberry Ln, Johnson City, Tennessee |
| Authorized Official Name and Position | Fernando Bendfeldt (PHYSICIAN) |
| Authorized Official Contact | 4232838801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult And Geriatric Psychiatry Service 101 Med Tech Pkwy Ste 407 Johnson City TN 37604-4000 Ph: (423) 283-8801 | Adult And Geriatric Psychiatry Service 1618 Strawberry Ln Johnson City TN 37604-7700 Ph: (423) 677-6787 |
| NPI Number | 1053650200 |
|---|---|
| Provider Enumeration Date | 02/07/2013 |
| Last Update Date | 02/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053650200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | MD19195 (Tennessee) | Primary |
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