Basic Information
| Provider Information | |||||||||
| NPI: | 1598371239 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEALTHYME PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 225 RANGEWOOD RD | ||||||||
| Address2: | |||||||||
| City: | PINEY FLATS | ||||||||
| State: | TN | ||||||||
| PostalCode: | 376864530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4234442200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 302 WESLEY ST STE 8 | ||||||||
| Address2: | |||||||||
| City: | JOHNSON CITY | ||||||||
| State: | TN | ||||||||
| PostalCode: | 376011741 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4232182198 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2020 | ||||||||
| LastUpdateDate: | 12/08/2020 | ||||||||
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| AuthorizedOfficialLastName: | SYBERT | ||||||||
| AuthorizedOfficialFirstName: | TROY | ||||||||
| AuthorizedOfficialMiddleName: | EUGENE | ||||||||
| AuthorizedOfficialTitleorPosition: | PHYSICIAN/CEO | ||||||||
| AuthorizedOfficialTelephone: | 4234442200 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 12/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083P0901X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine | 207R00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.