Search › Tennessee › 207R00000X
Pitchar Theerathorn, MD
NPI 1548223084 · on the registry since 2006
Practice
- Address
- 301 Med Tech Pkwy Ste 240
Johnson City, TN 37604 - Phone
- (423) 794-5520
- Fax
- (423) 282-6940
- Organisation at this address
- Mountain States Health Alliance
Wellmont Medical Associates, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 189
Additional practice sites
- 119 Boone Ridge Drive, Johnson City, TN
- 444 Clinchfield St Ste 201, Kingsport, TN
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
208M00000X - Licence states on file
- SC, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee