Provider Demographics
NPI:1962035774
Name:EAST TENNESSEE PULMONARY AND SLEEP MEDICINE PLLC
Entity Type:Organization
Organization Name:EAST TENNESSEE PULMONARY AND SLEEP MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-979-0000
Mailing Address - Street 1:1404 TUSCULUM BLVD STE 2200
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745-4395
Mailing Address - Country:US
Mailing Address - Phone:423-798-8052
Mailing Address - Fax:
Practice Address - Street 1:1404 TUSCULUM BLVD STE 2200
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-4395
Practice Address - Country:US
Practice Address - Phone:423-798-8052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-20
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty