Organization · Type 2 NPI

East Tennessee Brain & Spine Center, PC

Neurological Surgery Physician · Johnson City, TN

NPI number 1366452914 Active

Practice location

701 Med Tech Pkwy, Suite 300
Johnson City, TN 37604-2365

Call (423) 232-8301 Map

Fax (423) 232-8304

Mailing address

PO Box 9150
Paducah, KY 42002-9150

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Adult Health Nurse Practitioner 363LA2200XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1366452914

East Tennessee Brain & Spine Center, PC's National Provider Identifier is 1366452914, issued on Aug 8, 2006. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Johnson City, TN. The record was last updated on Jun 6, 2012.