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Contact Information

CRAIG MATHERNE, MD
301 MED TECH PKWY
STE 240
JOHNSON CITY, TN37604
 Phone: 423-794-5520
 Fax: 423-282-6940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CRAIG MATHERNE · (Male)

NPI # 1215965710
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 02/20/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 30967
  • LA Medicaid 1558729
  • TN Medicaid 1532440
  • TN Other 30967 MEDICAL LICENSE
Hospital affiliation(s)
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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