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East Tennessee Medical Associates, P.C. — NPI 1619089034, Johnson City, TN | NPI Central

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NPI 1619089034

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East Tennessee Medical Associates, P.C.

NPI 1619089034 · Nephrology Physician · Johnson City, TN

Provider details

NPI number: 1619089034
Entity type: Organization
Primary specialty: Nephrology PhysicianAllopathic & Osteopathic Physicians
Authorized official: Stanley Vermillion, Vice-President
License: MD6775 (TN)

Practice location

107 Woodlawn Dr

Johnson City, TN 37604-5978

Phone: (423) 929-7158

Fax: (423) 928-9625

More TN providers

Mailing address

107 Woodlawn Dr

Johnson City, TN 37604-5978

Registry dates

Enumerated: 2006-08-31
Last updated: 2010-01-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.