OrganizationActive
Plastic and Reconstructive Surgery PC
NPI 1215167580 · Legal Medicine · Johnson City, TN
Provider details
- NPI number
- 1215167580
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Laurie Webb, Insurance Manager(423) 328-9000
- License
- MD0000025117 (TN)
Specialties & taxonomies
Other Service Providers
Practice location
1303 Sunset Dr Ste 5
Johnson City, TN 37604-7905
Phone: (423) 328-9000
Fax: (423) 328-9007
Approximate (ZIP-level) locationGet directions
Mailing address
1303 Sunset Dr Ste 5
Johnson City, TN 37604-7905
Registry dates
- Enumerated
- 2009-07-21
- Last updated
- 2019-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.