William Worden Aiken III, BS

Individual provider Active NPI Case Manager/Care Coordinator · Johnson City, TN

NPI 1467646398 · NPPES record last updated Sep 4, 2007

Key facts

NPI
1467646398
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
109 W Watauga Ave
Johnson City, TN 37604-5621
Phone
(423) 232-2600
Fax
(423) 232-2646
NPI assigned
Sep 4, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

109 W Watauga Ave
Johnson City, TN 37604-5621

Mailing address

PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600

Other providers in Johnson City, TN

All providers in Johnson City, TN · Case Manager/Care Coordinator in Tennessee

Sources for this page

Verify at the official NPI Registry.