Healthcare Provider Details

I. General information

NPI: 1841895935
Provider Name (Legal Business Name): KARING HEARTS CARDIOLOGY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 12/04/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N STATE OF FRANKLIN RD STE 2
JOHNSON CITY TN
37604-3645
US

IV. Provider business mailing address

701 N STATE OF FRANKLIN RD STE 2
JOHNSON CITY TN
37604-3645
US

V. Phone/Fax

Practice location:
  • Phone: 423-926-4468
  • Fax: 423-928-4838
Mailing address:
  • Phone: 423-926-4468
  • Fax: 423-928-4838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROB GREGORY
Title or Position: CEO
Credential:
Phone: 423-926-4468