Basic Information
| Provider Information | |||||||||
| NPI: | 1427610211 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | US DIABETES CARE AND SURGICAL SPECIALTY OF MORRISTOWN TN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2231 SANDSTONE DRIVE | ||||||||
| Address2: | |||||||||
| City: | MORRISTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378140000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4236160625 | ||||||||
| FaxNumber: | 4236160150 | ||||||||
| Practice Location | |||||||||
| Address1: | 2231 SANDSTONE DRIVE | ||||||||
| Address2: | |||||||||
| City: | MORRISTOWN | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378140000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4236160625 | ||||||||
| FaxNumber: | 4236160150 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/02/2019 | ||||||||
| LastUpdateDate: | 09/06/2019 | ||||||||
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| AuthorizedOfficialLastName: | STROHFELDT | ||||||||
| AuthorizedOfficialFirstName: | CHRIS | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRACTICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4236160625 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 207X00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.