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East Tennessee State University — NPI 1720252554, Gray, TN | NPI Central

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NPI 1720252554

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East Tennessee State University

NPI 1720252554 · Audiologist · Gray, TN

Provider details

NPI number: 1720252554
Entity type: Organization
Primary specialty: AudiologistSpeech, Language and Hearing Service Providers
Organization subpart: No
Authorized official: David Collins, Cfo, Vp Finance & Administration(423) 439-5884

Specialties & taxonomies

AudiologistPrimary231H00000X
Speech, Language and Hearing Service Providers
Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers

Practice location

350 Christian Church Rd

Gray, TN 37615-4500

Phone: (423) 439-4355

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

Po Box 70403

Johnson City, TN 37614-1703

Other names (DBA / former)

Doing business as: Community Care Wellness Center

Registry dates

Enumerated: 2008-04-14
Last updated: 2008-09-11

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