| Id Consultant PLLC | |
|
1420 Tusculum Blvd Greeneville TN 37745-4279 | |
| (423) 783-6400 | |
| (423) 787-5146 |
| Full Name | Id Consultant PLLC |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1420 Tusculum Blvd, Greeneville, Tennessee |
| Authorized Official Name and Position | Hiren B Patel (OWNER) |
| Authorized Official Contact | 4239434030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Consultant PLLC Po Box 4015 Johnson City TN 37602-4015 Ph: (423) 915-1126 | Id Consultant PLLC 1420 Tusculum Blvd Greeneville TN 37745-4279 Ph: (423) 783-6400 |
| NPI Number | 1104193754 |
|---|---|
| Provider Enumeration Date | 11/28/2011 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104193754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
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