MEDICARE: APPALACHIAN ORTHOPAEDIC ASSOCIATES P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1063875649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPALACHIAN ORTHOPAEDIC ASSOCIATES P C

Provider Business Mailing Address
First Line	:	401 SCENIC DR
Second Line	:
City	:	ROGERSVILLE
State	:	TN
Zip	:	37857-2452
Country	:	US
Telephone Number	:	423-844-6450
Fax Number	:	423-844-6499

Provider Business Practice Location Address
First Line	:	401 SCENIC DR
Second Line	:
City	:	ROGERSVILLE
State	:	TN
Zip	:	37857-2452
Country	:	US
Telephone Number	:	423-844-6450
Fax Number	:	423-844-6499

Authorized Official
Title or Position	:	CFO
Name	:	TAMMI RENEA WRIGHT
Credential	:
Telephone Number	:	423-239-1550

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	03/15/2024

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