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NPI Code Detail

MEDICARE: NORMAN A ASSAD M.D.

MEDICARE: NORMAN A ASSAD M.D.
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
1207VG0400XGynecology PhysicianMD35556TN
2207VE0102XReproductive Endocrinology PhysicianMD35556TN

General Provider Information

NPI Number : 1386637619
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORMAN A ASSAD M.D.
Provider Business Mailing Address
First Line : PO BOX 699
Second Line :
City : MOUNTAIN HOME
State : TN
Zip : 37684-0699
Country : US
Telephone Number : 423-439-7246
Fax Number : 423-282-4698
Provider Business Practice Location Address
First Line : 1319 SUNSET DR
Second Line : SUITE 103
City : JOHNSON CITY
State : TN
Zip : 37604-3799
Country : US
Telephone Number : 423-439-7246
Fax Number : 423-282-4698
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 03/25/2015

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Directions to “ NORMAN A ASSAD M.D.” Practice Location

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