Individual provider · Type 1 NPI

Holly Renee Nummerdor, DO

Family Medicine Physician · Johnson City, TN

NPI number 1114504545 Active

Practice location

701 Med Tech Pkwy Ste 401
Johnson City, TN 37604-2372

Call (423) 631-0646 Map

Fax (423) 631-0647

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

1242 W Shipley Ferry Rd, Kingsport, TN 37663-3323 · (423) 239-7300
1497 W Elk Ave Ste 21, Elizabethton, TN 37643-2896 · (423) 542-7420
102 E Ravine Rd, Kingsport, TN 37660-3814 · (920) 210-5194

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	5826 (TN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Johnson City

See all in Johnson City →

About NPI 1114504545

Holly Renee Nummerdor, DO's National Provider Identifier is 1114504545, issued on Mar 24, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Johnson City, TN. The record was last updated on Jul 28, 2026.