MEDICARE: DR. DANIEL BROOKS DRINNEN M.D.

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	208600000X	Surgery Physician	MD27099	TN

General Provider Information

NPI Number	:	1184660482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL BROOKS DRINNEN M.D.

Provider Business Mailing Address
First Line	:	300 E MAIN ST STE 301
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-5708
Country	:	US
Telephone Number	:	423-979-0000
Fax Number	:	423-979-6333

Provider Business Practice Location Address
First Line	:	300 E MAIN ST STE 301
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-5708
Country	:	US
Telephone Number	:	423-979-0000
Fax Number	:	423-979-6333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	04/27/2018

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