Phillip J. Riley
Podiatrist
325 N State Of Franklin Rd Third Floor
Johnson City
, Tennessee 37604-6062
Phillip J. Riley
Podiatrist
325 N State Of Franklin Rd Third Floor
Johnson City
, Tennessee 37604-6062
(423) 439-7219
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Phillip J. Riley
- P.o.box 699
- Mountain Home, TN
- Zip : 37684-0699
- Fax : (423) 439-7219
- Phone : (423) 439-7201
Second Address
- Phillip J. Riley
- 325 N State Of Franklin Rd Third Floor
- Johnson City, TN
- Zip : 37604-6062
- Fax : (423) 439-7219
- Phone : (423) 439-7201
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | MD653 | TN |
| Y | 222Z00000X | Podiatrist | MD653 | TN |
National Provider Identifier
| NPI | 1043284391 |
|---|---|
| Provider Name | Phillip J. Riley |
| First Address | Mountain Home, TN 37684-0699 |
| Second Address | Johnson City, TN 37604-6062 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/02/2006 |
| Last Update Date | 05/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U91457 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.