| Imperial Healthcare Services | |
|
1604 Lamons Ln Ste 230 Johnson City TN 37604-8224 | |
| (423) 930-5168 | |
| (423) 328-0193 |
| Full Name | Imperial Healthcare Services |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1604 Lamons Ln Ste 230, Johnson City, Tennessee |
| Authorized Official Name and Position | Renee R Buckles (VICE PRESIDENT) |
| Authorized Official Contact | 4239305168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Healthcare Services 1604 Lamons Ln Ste 230 Johnson City TN 37604-8224 Ph: (423) 930-5168 | Imperial Healthcare Services 1604 Lamons Ln Ste 230 Johnson City TN 37604-8224 Ph: (423) 930-5168 |
| NPI Number | 1033410220 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033410220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD0000038183 (Tennessee) | Primary |
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