Healthcare Provider Details

I. General information

NPI: 1902319585
Provider Name (Legal Business Name): JOSH PARTIN PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2017
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 MED TECH PKWY
JOHNSON CITY TN
37604-2365
US

IV. Provider business mailing address

270 FREE HILL RD
GRAY TN
37615-3146
US

V. Phone/Fax

Practice location:
  • Phone: 423-232-8301
  • Fax:
Mailing address:
  • Phone: 423-557-5986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number3448
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number3448
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: