Basic Information
Provider Information
NPI: 1770719635
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FURCHNER
FirstName: JOY
MiddleName: DONER
NamePrefix: MS.
NameSuffix:  
Credential: MSPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: DONER
OtherFirstName: JOY
OtherMiddleName: ANN
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MSPT
OtherLastNameType: 1
Mailing Information
Address1: 8823 PRODUCTION LN
Address2:  
City: OOLTEWAH
State: TN
PostalCode: 373636511
CountryCode: US
TelephoneNumber: 4232388930
FaxNumber: 4232856647
Practice Location
Address1: 1525 CELANESE RD
Address2: STE 113
City: ROCK HILL
State: SC
PostalCode: 297321757
CountryCode: US
TelephoneNumber: 8033668243
FaxNumber: 8033668245
Other Information
ProviderEnumerationDate: 06/05/2009
LastUpdateDate: 10/23/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X10963NCN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X5447SCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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