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NPI Code Detail

MEDICARE: LINDSEY D DOLLAR PA-C

MEDICARE: LINDSEY D DOLLAR PA-C
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
1363A00000XPhysician Assistant4377TN
2363A00000XPhysician Assistant0110011242VA

General Provider Information

NPI Number : 1972193472
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY D DOLLAR PA-C
Provider Business Mailing Address
First Line : 1021 W OAKLAND AVE STE 310
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-2192
Country : US
Telephone Number : 423-952-2111
Fax Number : 423-282-1657
Provider Business Practice Location Address
First Line : 2050 MEADOWVIEW PKWY
Second Line :
City : KINGSPORT
State : TN
Zip : 37660-7475
Country : US
Telephone Number : 423-230-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2021
Last Update Date : 12/01/2025

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