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NPI Code Detail

MEDICARE: DR. JOSEPH R HURST DO

MEDICARE: DR. JOSEPH R HURST DO
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
1363AS0400XSurgical Physician Assistant100006796AIN
2390200000XStudent in an Organized Health Care Education/Training Program57TN
3207X00000XOrthopaedic Surgery Physician3409TN

General Provider Information

NPI Number : 1346223948
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH R HURST DO
Provider Business Mailing Address
First Line : 2410 SUSANNAH ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1748
Country : US
Telephone Number : 423-282-9011
Fax Number : 423-282-3003
Provider Business Practice Location Address
First Line : 2410 SUSANNAH ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1748
Country : US
Telephone Number : 423-282-9011
Fax Number : 423-282-3003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2005
Last Update Date : 12/17/2019

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Directions to “ DR. JOSEPH R HURST DO” Practice Location

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