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Contact Information

ADULT AND GERIATRIC PSYCHIATRY SERVICE
1618 STRAWBERRY LN
JOHNSON CITY, TN37604-7700
 Phone: 423-677-6787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ADULT AND GERIATRIC PSYCHIATRY SERVICE

NPI # 1053650200
LBN Legal business name ADULT AND GERIATRIC PSYCHIATRY SERVICE
Authorized official FERNANDO BENDFELDT - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/07/2013
Last updated 02/07/2013 - About 13 years ago
Identifiers
TN License # MD19195
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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