Healthcare Provider Details

I. General information

NPI: 1093742132
Provider Name (Legal Business Name): HARRY ALLIE ZAIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 BOWMAN ST SUITE B
MORRISTOWN TN
37813-3871
US

IV. Provider business mailing address

230 BOWMAN STREET SUITE B
MORRISTOWN TN
37813
US

V. Phone/Fax

Practice location:
  • Phone: 423-586-1356
  • Fax: 423-585-5613
Mailing address:
  • Phone: 423-586-1356
  • Fax: 423-585-5613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD018431
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD0000018431
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number0000018431
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD0000018431
License Number StateTN
# 5
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number0000018431
License Number StateTN
# 6
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0000018431
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: