MEDICARE: DR. DAVID KEITH EMERINE DO

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	207Q00000X	Family Medicine Physician	4641	TN

General Provider Information

NPI Number	:	1629538343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID KEITH EMERINE DO

Provider Business Mailing Address
First Line	:	1021 W OAKLAND AVE STE 310
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2192
Country	:	US
Telephone Number	:	423-302-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 W OAKLAND AVE STE 301
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-2192
Country	:	US
Telephone Number	:	423-952-8000
Fax Number	:	423-952-8001

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

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	10/09/2023

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Directions to “ DR. DAVID KEITH EMERINE DO” Practice Location

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