MEDICARE: DR. ANDREW S PIERCE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	37912	TN
2	207R00000X	Internal Medicine Physician	37912	TN

General Provider Information

NPI Number	:	1093715203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW S PIERCE MD

Provider Business Mailing Address
First Line	:	PO BOX 3700
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37602-3700
Country	:	US
Telephone Number	:	423-431-1810
Fax Number	:	423-431-1811

Provider Business Practice Location Address
First Line	:	408 N STATE OF FRANKLIN RD
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-6089
Country	:	US
Telephone Number	:	423-431-1810
Fax Number	:	423-431-1811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	07/20/2011

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Directions to “ DR. ANDREW S PIERCE MD” Practice Location

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