NPI Code Details Logo

NPI 1972193472

NPI 1972193472 : LINDSEY D DOLLAR PA-C : KINGSPORT, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1972193472
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LINDSEY D DOLLAR PA-C
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/19/2021
-----------------------------------------------------
    Last Update Date     |    12/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2050 MEADOWVIEW PKWY 
-----------------------------------------------------
    City                 |    KINGSPORT
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37660-7475
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-230-5000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1021 W OAKLAND AVE STE 310 
-----------------------------------------------------
    City                 |    JOHNSON CITY
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37604-2192
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    423-952-2111
-----------------------------------------------------
    Fax                  |    423-282-1657
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    4377
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    0110011242
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.