EAST TENNESSEE STATE UNIVERSITY

JOHNSON CITY, TN
NPI1568570273
Doing Business AsSTUDENT UNIVERSITY HEALTH SERVICES
Entity TypeOrganization
Authorized ContactBETTY J KING
Acting Chief Financial Officer
423-439-4414
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Additional Taxonomies363LP2300X Nurse Practitioner Primary Care
Enumeration Date2006-08-25
Last Update Date2017-09-22
Business Address
EAST TENNESSEE STATE UNIVERSITY
365 STOUT DRIVE NICKS HALL RM 160
JOHNSON CITY, TN 37614-6500
Phone number: 423-439-4225
Mailing Address
EAST TENNESSEE STATE UNIVERSITY
365 STOUT DRIVE BOX 70403
JOHNSON CITY, TN 37614-1703
Phone number: 423-439-4515