Healthcare Provider Details

I. General information

NPI: 1316925191
Provider Name (Legal Business Name): INPATIENT MEDICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 BOONE RIDGE DR SUITE 201
JOHNSON CITY TN
37615-4998
US

IV. Provider business mailing address

PO BOX 2503
JOHNSON CITY TN
37605-2503
US

V. Phone/Fax

Practice location:
  • Phone: 423-928-1145
  • Fax: 423-928-1353
Mailing address:
  • Phone: 423-928-1145
  • Fax: 423-928-1353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN P DONOVAN
Title or Position: PRESIDENT
Credential: MD
Phone: 423-928-1145