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NPI Code Detail

MEDICARE: RODNEY A HOUGHTON MD

MEDICARE: RODNEY A HOUGHTON MD
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
12084P0800XPsychiatry PhysicianMD30106TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1TN01V3OTHERTNJOHN DEERE
24106726OTHERNEBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215993332
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODNEY A HOUGHTON MD
Provider Business Mailing Address
First Line : 403 N STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6034
Country : US
Telephone Number : 423-431-7013
Fax Number : 423-431-7130
Provider Business Practice Location Address
First Line : 403 N STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6034
Country : US
Telephone Number : 423-431-7013
Fax Number : 423-431-7130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 04/19/2012

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Directions to “ RODNEY A HOUGHTON MD” Practice Location

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