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NPI Code Detail

MEDICARE: FAITH A AIMUA MD

MEDICARE: FAITH A AIMUA 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
12084P0800XPsychiatry PhysicianMD0000046603TN
22084P0800XPsychiatry Physician46603TN
32084P0800XPsychiatry Physician2016-00665NC

General Provider Information

NPI Number : 1538450408
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAITH A AIMUA MD
Provider Business Mailing Address
First Line : PO BOX 4358
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37602-4358
Country : US
Telephone Number : 423-631-0024
Fax Number : 423-631-0047
Provider Business Practice Location Address
First Line : 206 PRINCETON RD STE 18
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-2025
Country : US
Telephone Number : 423-631-0024
Fax Number : 423-631-0047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2011
Last Update Date : 06/16/2026

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Directions to “ FAITH A AIMUA MD” Practice Location

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