| Princeton Healthcare Associates, Pc | |
|
206 Princeton Rd Suite 14 Johnson City TN 37601-2058 | |
| (423) 283-4905 | |
| (423) 283-4200 |
| Full Name | Princeton Healthcare Associates, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 206 Princeton Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | David K Perry (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4232834055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Princeton Healthcare Associates, Pc 206 Princeton Rd Suite 14 Johnson City TN 37601-2058 Ph: (423) 283-4905 | Princeton Healthcare Associates, Pc 206 Princeton Rd Suite 14 Johnson City TN 37601-2058 Ph: (423) 283-4905 |
| NPI Number | 1477826014 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 03/06/2017 |
| Medicare PECOS PAC ID | 5698933885 |
|---|---|
| Medicare Enrollment ID | O20120220000315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477826014 | NPI | - | NPPES |
| 0083272 | Other | TN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David K Perry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194710715 PECOS PAC ID: 4183882954 Enrollment ID: I20120224000360 |
| Provider Name | Steven Matthew Fitzgerald |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942462098 PECOS PAC ID: 9032437488 Enrollment ID: I20150414002374 |
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