Healthcare Provider Details

I. General information

NPI: 1174525307
Provider Name (Legal Business Name): MARIANNE E FILKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2408 SUSANNAH ST STE 1
JOHNSON CITY TN
37601-1765
US

IV. Provider business mailing address

137 HUGH GARLAND RD
JONESBOROUGH TN
37659-6969
US

V. Phone/Fax

Practice location:
  • Phone: 423-434-6677
  • Fax: 423-461-0000
Mailing address:
  • Phone: 423-483-1268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD0000018009
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number18009
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: