OrganizationActive
East Tennessee Hearing Center
NPI 1194082099 · Hearing and Speech Clinic/Center · Johnson City, TN
Provider details
- NPI number
- 1194082099
- Entity type
- Organization
- Primary specialty
- Hearing and Speech Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Bagwell, Audiologist(423) 928-2885
- License
- A000000041 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
112 E Myrtle Ave
Suite 504
Johnson City, TN 37601-8600
Phone: (423) 928-2885
Fax: (423) 928-2885
Approximate (ZIP-level) locationGet directions
Mailing address
112 E Myrtle Ave
Johnson City, TN 37601-8600
Registry dates
- Enumerated
- 2012-04-16
- Last updated
- 2012-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.