RAY W. METTETAL JR., M.D. INC.
NPI 1043451578
Clinic/Center - Medical Specialty in Johnson City, TN

Active since March 12, 2009
329 WESLEY ST STE 4, JOHNSON CITY, TN 37601(423) 282-5411(423) 282-5951 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ray W. Mettetal Jr., M.d. Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAY W. METTETAL JR., M.D. INC. (NPI 1043451578) is a healthcare organization registered as a medical specialty in Johnson City, Tennessee and active in the NPI registry since March 2009. The organization lists Ray Wallace Mettetal, President/owner, as its authorized official.

NPPES Registry Identity

NPI1043451578
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameRAY W. METTETAL JR., M.D. INC.
Location Address329 WESLEY ST STE 4Johnson City, TN 37601-1721
Mailing Address303 E 11th AveJohnson City, TN 37601-3932 · (423) 282-5411 · Fax (423) 282-5951
Fax(423) 282-5951
Organization SubpartNo
Authorized OfficialRay Wallace MettetalPresident/owner · (423) 341-7538
Enumeration DateMarch 12, 2009
NPI 1043451578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in TN · MD 10753
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

329 WESLEY ST STE 4, Johnson City, TN 37601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043451578, enumerated as an "organization" on March 12, 2009.

The provider is located at 329 WESLEY ST STE 4 JOHNSON CITY, TN 37601 and the phone number is (423) 282-5411.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.