Runnels, Clay W

Runnels, Clay W is an individual health care provider with primary practice located at 101 Med Tech Pkwy Suite 305, Johnson City TN 37604-4007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Runnels, Clay W can be contacted via phone (423) 926-6266.

Contact Information

Primary practice address
101 Med Tech Pkwy Suite 305 Johnson City TN 37604-4007
Phone: (423) 926-6266
Fax: (423) 926-7599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD34020 Tennessee

Profile Details

NPI number 1801835921
LBN Legal business name Runnels, Clay W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Mar 4th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801835921 NPPES
Tennessee MEDICAID 3854217
Tennessee MEDICAID 89063EV
Tennessee MEDICAID 64122096

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