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Contact Information

PAUL DIERS, PA-C
2202 JOHN B DENNIS HWY
SUITE 100
KINGSPORT, TN37660
 Phone: 423-245-3161
 Fax: 423-857-8129
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAUL DIERS · (Male)

NPI Number 1124060140
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/12/2006
Last updated 05/02/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TN License # PA000243
  • TN Medicaid 3669582
  • VA Medicaid 008929785
  • TN Other PA000243 LICENSE
Hospital affiliation(s) Not Available
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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